Basic Company Information

Street Address *
Street Address
Phone Number *
Phone Number
Cell Number
Cell Number
Fax Number
Fax Number
http://
(i.e. Restaurant, Financial Services, Retail)
Your annual objective (i.e.revenue, # of accounts, growth %, etc.)
 

Monitor Package Information

Please fill out the form below if you have selected the Monitor or Monitor+ package.

If you have one
Please list any numbers you are tracking internally and the campaign associated
Please list 3 top priority keywords, and we will show you how you stack up against your competition in the Monitor Reporting
Please list up to 3 top competitors, and we will show you how you compare in the Monitor Reporting.
http://
http://
http://
http://
http://
http://
http://
http://
Social Tone of Voice
How do you want your audience to perceive you? (select all that apply)
 

Enrich Package Information

Please fill out the form below if you have selected the Enrich package.

Please provide any additional live websites in the notes below
http://
What is the nature of your business? What should we put on the homepage?
Please list any slogans, mottos or tag lines for your business as well as specific brand guidelines such as website and logo color codes.
214 will need access to high-res image files such as your logo, photos of your business, etc. Please provide us with access instructions or a personal contact.
Site Navigation *
Please select the navigation tabs you would like to include on your website. Select all that apply. We recommend at least 4.
214 will need access or instructions sent to your Domain Name Service (DNS) provider such as GoDaddy or Network Solutions. Please provide us with login information, or a contact.
What products and/or services do you provide? A prioritized keyword list is preferred.
Please list any key competitive differentiators (i.e. "largest Ford Dealer in Texas")
Please list any awards, accolades, press mentions along with any links to these online.
Please tell us anything else about your business that would help us create awesome content that your existing and potential customers would love to see.
Please list at least three websites you like the look and feel of.
 

Reach Package Information

Please fill out the form below if you have selected the Reach package.

Reach Campaign
Please specify your monthly budget for online advertising. These amounts can be changed in future months by providing us notice before the 25th for the next month's campaign. Note that there is a minimum media management fee of $200 per advertising channel.
Pay Per Click on Google, Bing, Yahoo!
$
$
$
$
$
Contact Information
Who is the best person at your business for us to contact regarding your Reach advertising campaign?
Contact Name *
Contact Name
Contact Phone *
Contact Phone
Targeting
Help us target your Reach advertising campaign by providing some additional detail
Please provide the maximum radius around your business in miles that you would like to reach with your online advertising. (Default 25)
What age range would you like to target?
Gender Target
What is the overall message you wish to convey in your advertising?
Who are your top 3 competitors?
What makes your business unique? (You may choose to skip if you already answered in another section)
Do you have any existing or upcoming specials, sales or promotions?
Please tell us about any current or recent online advertising for your business, including budget amounts.
Where would you like to send people who click on your advertising?
http://
Phone Number
Phone Number
Which phone number (if any) would you like to feature in your advertising?
Street Address
Street Address
What is the physical street address (if any) that you would like to promote in your advertising?
Facebook Access
Only provide if you have selected Facebook advertising.