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Name (required)

Company (required)

Email (required)

Phone (required)

Website (if any)

If you have a website, does it have a way to capture the contact information of your visitors?
 Yes No

Do you have an automated follow-up system for prospects and customers?
 Yes No

What is the dollar amount of your average sale? (Best guess)

What is your average number of sales each month? (Best guess)

Which type of advertising do you currently use (check all that apply)?
 Yellow Pages Display Ad  Yellow Pages Website  Newspaper  Magazine  Radio Commercials  TV Commercials  Internet Video Commercials  Pay Per Click Internet  Internet Banner Ad  Internet Social Media (i.e. Facebook)  Internet Business Directories

Do you use any type of advertising not listed above? If so, what?