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Marketing Request Form

Date
Date Format: MM slash DD slash YYYY
Name
First Last
Email
Type of Business
Website
Blog
Social Media Presence
Facebook
Twitter
Instagram
LinkedIn
YouTube
Other Social Media
Other Social Media
Other Social Media
How Do You Feel About Social Media?
- I LOVE it!
- I HATE it!
- I'm indifferent to it.
- I know it's a necessary evil.
- Other
Other
What's Your Level of Expertise With Social Media?
- I know enough to be dangerous.
- I'm a social media pro.
- I know nothing about social media.
- I'm pretty good at it.
- Other
Other
What Do You Most Need Help With?
What is Your Goal for Your Marketing Program?

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