Discovery Form

    First Name:(Required)

    Last Name:(Required)

    Business Name:(Required)

    Business Address:(Required)

    Email Address:(Required)

    Phone Number:(Required)

    Website URL:(Required)

    How did you hear about us?:(Required)

    Tell Us About Your Business:(Required)

    Why should your customer buy from YOU, rather than a competitior? (State your "value Proposition')(Required)

    What is your typical sales process? (ex:Customer calls, then fills out form, then sets appointment etc)(Required)

    What are the short - and long - term goals of your company?(Required)

    What product or service would you like to sell more of?:(Required)

    What is the lifetime dollar value of a customer?(your profit over the life of a customer):(Required)

    Describe Your Ideal Client:(Required)

    What knowledge of Facebook Advertising exists within your company?:(Required)
    NoneA LittleA Lot

    Have you previously advertised on Facebook? (If so, please check the investment level):(Required)
    NoneUnder $500 per monthUnder $1,000 per monthOver $1,000 per monthOver $5,000 per monthOver $10,000

    Please List Radius and Specific Cities You Would Like To Target. If You're Targeting National, Just Type In 'United States':(Required)

    How Many Additional Customers Would You Like To Aquire Per Month? Please Set A Number:(Required)

    Are You Doing Any Other Forms Of Marketing?:(Required)
    SEO (Search Engine Optimization)PPC (Pay Per Click)RTB (Real Time Bidding)Video MarketingOffline Print, Radio, Media

    What Would You Say Has Been Your Most Effective Advertising Method?:(Required)

    What Would You Say Has Been Your Least Effective Advertising Method?:(Required)

    How Much Are You Currently Spending Each Month On Advertising?:(Required)

    How Much Does It Currently Cost You To Generate A New Lead?:(Required)

    Do You Offer Any Special Promotions To New Customers? If So, What Are They?:(Required)

    Who Is Your Competition?:(Required)

    What Is Your Budget Range For Getting New Customers?:(Required)

    What Is Your Biggest Concern Working With A Company For Online Marketing?:(Required)

      Business Information

      Primary Contact (required)

      How Can We Reach You? (required)

      Company Name (required)

      Address 1
      Street Address (required)

      City (required)

      State/Province/Region (required)

      Zip / Postal Code (required)

      Country (required)

      Address 2 (if)
      Street Address



      Zip / Postal Code


      Phone (required)

      Fax (if)

      Toll Free Number (if)

      Website (required)

      Profile Email / Web Mail / Business Email: (if)

      Business Type / Category (required)

      Main Products / Services (required)

      Additional Products and Services (required)

      Office Hours (required)

      Payment Methods Accepted (Check all that apply)
      CashCheckDebit CardVisaMaster CardAmerican ExpressDiscoverDiners ClubPayPalInvoiceFinancingTravelers ChecksEuro Card

      In Business Since (required)

      Business Description - Short (200 Characters Max)

      Business Description - Long

      Business Logo: Upload Here:

      Photos: Upload Here:

      Video URL's (please provide at least 5)

      Additional Information

      Tag line / Business Slogan(if)

      Specialties (exclusive products, Areas of expertise):(if)

      Cities Served / Counties Served / Areas Served : (if)

      Language Spoken: (if)



      Coupons / Specials (Get more business by adding an offer or discount.)

      Offers (20% off all haircuts, 12.00 off for new customers etc)

      Brand Names Carried: (if)

      Affiliations (BBB Member, sites/trade license #, Chamber of commerce etc): (if)

      Social Media Page Urls (facebook, twitter, blog etc): (if)

      Owner Information


      Position/Job Title

      Owner/Contact Person Gender

      Owner / Contact Person Date of Birth: (if)

      Owner / Contact Person Bio: (if)

      Owner / Contact Person Location (if)
      Street Address



      Zip / Postal Code


      Owner / Contact Person Photo:(if)

      Business Facebook Page Login and Url:

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