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Anzick Media LLC
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Intake form
Help us serve you better
Name
*
Email address
*
What services are you interested in?
Please select at least one option.
Social Media Marketing
Search Engine Optimization (SEO)
Content Marketing
Email Marketing
Pay-Per-Click Advertising (PPC)
Graphic Design
Web Development
Brand Strategy
What is your budget range for marketing services?
Select
Under $1,000
$1,000 - $5,000
$5,000 - $10,000
$10,000 - $20,000
Over $20,000
What is your target audience?
What is your preferred method of communication?
Select
Email
Phone Call
Video Conference
In-Person Meeting
What is the timeline for your project?
Select
Immediate
Within 1 month
1-3 months
3-6 months
Longer than 6 months
Have you previously worked with a marketing agency?
Select
Yes
No
What are your main goals for this marketing campaign?
Additional questions or comments
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