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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