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Please take a few moments to share with us the following information to better understand your unique business needs and perspective.

First Name: *
   
What type of business do you have?

Last Name: *
   
What are your top two business concerns? (hold down CTRL key for multiple selections):

Title:
   
Thinking about your company, how much growth could you handle?

Company Name:
   
If you had to choose, what would be the type of sales you would prefer?

Business Phone Number: *
   
Thinking about your target markets, how well do you feel that you have reached them?

Website Address:
   
Which of the following would tell you that your marketing efforts were successful? Please select all that apply:

Email Address: *
   
Who is in charge of ensuring your marketing efforts are beneficial, timely, and a return on investment?

What is your company's annual gross revenue?
   
What is your company's annual marketing budget?

What are the top two (2) challenges that impact your marketing efforts?
   
In your own words, what would make marketing a more successful part of your business?

Would you be interested in receiving our informative newsletters about marketing topics that are relevant to your business needs? *

   
What types of marketing efforts have you made to this point?

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