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HOME
WEB DESIGN
Business Websites
E-Commerce Websites
Membership Websites
HOSTING
ABOUT US
CONTACT
BLOG
FREE QUOTE
Get A Free Quote
Name
*
First
Last
Company Name
*
Phone
*
Email
*
Current Web Address (URL)
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Current Domain & Hosting Provider
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How may we assist you? (check all that apply)
*
Web Design
Graphic Design
Logo Design
SEO (Internet Marketing)
PPC (Pay Per Click)
Reputation Management
New / Remodel Website
What would you like your website to do? (Check all that apply)
*
Shopping Cart System
Play Video / Audio
Appointment Setting
Blog writing and commenting
Social Media setup
Pay Securely On-line
Password Protect Areas
Special Sign-up / info Forms
Favorite Colors?
*
Go Live Date
*
MM slash DD slash YYYY
List any websites you like here
*
Website 1
Website 2
Website 3
Internet Marketing (SEO)
What Type of Site is it?
*
WordPress
Site Builder like weebly
I don't Know
Have you used a SEO Company on this site before?
*
Yes, We currently have one
Yes, in the past
No
Do you have admin access to the Website?
*
Yes I do
No
I have a login but not sure if it is admin
Top 3 Your Services
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Service 1
Service 2
Service 3
List top 3 locations
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Area 1
Area 2
Area 3
city/state/country
List top 3 Keyphrases
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Keyword 1
Keyword 2
Keyword 3
Keywords you want to rank for
Please tell us about your goals for the site
Please tell us about any problems you are having with your site
Graphic / Logo Design
Tell Us What You Are Looking For
*
Paid Advertising (PPC=Pay Per Click)
Top 3 Your Services
*
Service 1
Service 2
Service 3
List top 3 location
*
Area 1
Area 2
Area 3
city/state/country
List top 3 Keyphrases
*
Keyword 1
Keyword 2
Keyword 3
Keywords you want to rank for
Tell me about your goals for this campaign Including # of leads per month you are wanting
Reputation Management
Describe the Issue
*
Remove Search Result(s)
Push Down Search Result(s)
Protect Online Reputation
De-Index Search Reults
Improve Online Reviews
What Search Term Did You Use?
*
How did you find the bad review
What Browser Did You Use?
Internet Explorer, Chrome Firefox
When Was The Last Time You Saw The Review?
Which Pages To Remove
RipoffReport
PissedConsumer
Complaintsboard
Thedirt
law360
complaints
scambook
scamgroup
Other
Which Review Sites?
Yelp
Google
City Search
Angieslist
Homeadvisors
What have you done to improve or remedy your reviews
What is your current budget?
*
How Did you hear about us
*
Web Search
Social Media
Other Ad
Referral
Who Referred You?
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Questions or Comments
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