Marketing Services Form

    Your Client ID:

    Company Profile

    1. Your full name:

    2. Name of your business:

    3. Your company slogan:

    4. When was your company established?

    5. Number of employees/staff:

    6. Your company email:

    7. Your company phone:

    8. Your website/domain:

    9. Your company address:

    Company Details

    1. What does your business do?

    2. Describe the products/services you sell.

    3. What is your typical customer like?

    4. What is your target audience?

    5. If your primary customers/clients are local, what surrounding cities/states are you targeting?

    6. What are the top 3 things your customers should know about you?

    7. What makes you stand out apart from your competitors?

    8. Why you instead of your competitors?

    9. Twitter account:

    10. Facebook account:

    11. MySpace account:

    12. LinkedIn account:

    13. YouTube account:

    14. Any other social media account(s):

    Keyword Research

    1. Do you have access to your Google Analytics and Webmaster Tools? If so, please provide us with your login credentials:

    2. If you do not have one, please let us know what email address you would like to use as the primary account:

    3. What keywords do you *think* you should be ranking for? I.E. Use as many descriptive PHRASES as possible to describe your business and what you do.

    4. Additional comments:

    5. Please attach any supporting files you wish.

    Note:If you purchased the Local Marketing Elite, you can stop here and just
    submit the form (submission button is at the bottom of this page).

    Fill Out The Fields Below Only If You
    Purchased Them Or It’s Part of Your Package

    Press Release Marketing Elite:

    1. Do you just want us to write press releases on anything related to your industry or will you give us things to write about?

    2. Help us with your first PR. What kind of press release is this?
    New product or serviceImprovements or expansion of products or servicesNoteworthy new accountsOrganization or staff changesQuarterly earningsAchievements by company or personnelInformation resourcesResponse to a controversy or crisisSpecial eventsCharitable donationsAwards won or givenGiveaways or promotionsResearch findingsHuman interest stories

    3. What is the purpose of the release?
    Increase or maintain awarenessEstablish credibility or authority and build imageGet interviews on television, radio, InternetBecome an expert sourcePromote salesDrive traffic to a special event or Web siteChange buyer or industry behaviorExpand market shareComply with SEC disclosure regulationsIncrease stock price

    4. Additional comments:

    5. Please attach any supporting files you wish.

    Video Marketing:

    1. Do you want us to create videos randomly or will you let us know what text, slogans, images, etc to use?

    2. For your first video, what is the URL/website you want to promote?

    3. What are the 3 main selling points you want to convey about your product or service (features, benefits, unique characteristics, and the like)?

    4. Are you targeting a particular demographic? If so, what age group?

    5. Do you have any other particular requests that you want us to implement for your video? I.E. Mission statement, goal or commitment to your customers?

    6. Title for your business or video:

    7. Description of your business/video:

    8. Please attach any supporting files you wish.

    9. Additional comments:

    Social Media Marketing Elite:

    1. You will have 2 Twitter accounts and 2 Facebook accounts. All of which *should* be “marketing” accounts, but do you require an account specific for your company and would like for us to manage? If so, please indicate whether you want us to manage Twitter and/or Facebook.

    2. If you’d like for us to manage it, please register a Twitter account and/or Facebook account right now and provide us with the account name and password:
    a. Twitter Username:
    b. Facebook Username:

    3. Additional comments

    4. Please attach any supporting files you wish.

    Please type in the code you see below:


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    Zimrock Marketing, Inc.
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