Decorating Den Intake Form

General Information

Which services would you like?

SEO
PPC

Your Name*

Business Name*

Your Email*

Your URL*

Business Contact Information
Please no PO Boxes or UPS Addresses

Business Address Line 1*

Business Address Line 2

What type of location is this?

Home Address
Storefront
Other

City*

State*

Zip*

Business Phone Number*

Business Fax Number

What are your hours of operation?

Date/year your business was established

Has your business ever gone by another name? If yes, what was the name?

Has your business ever had a different address than your current address?

Access

Google Account Information
Do you already have an AdWords or Analytics account?

Email:

Password:

Strategy

Geo Target*

What cities or towns do you want to be found for? Please list in order of importance.

Do you want to include "Complimentary Consultation" in your ads and on your website?*

Yes, include Complimentary Consultation in my ads
Yes, include Complimentary Consultation on my website
No, I do not want to promote the Complimentary Consultation

Promotions/Specials

Are you running any specials or promotions? (Ex. 10% off window treatments)

Design Styles:

Contemporary
Country
Eclectic
Modern
Rustic
Traditional
Transitional
Other

If other, please specify:

PPC Portion

Please only fill out the below fields if you want PPC services. If you do not want PPC services, disregard this section and continue to the SEO portion of this form.

Budget

How much do you want to spend on PPC ads each month? $200 minimum ad spend.

If you are not interested in SEO services, please scroll down to the bottom of the page and hit the submit button. If you would also like SEO services, please continue filling out this form.

SEO Portion

Please only fill out the below fields if you want SEO services.

Are you a member of any associations? (Ex. Chamber of commerce, charitable organizations) If so, please list them.

Do you have professional photos of your own work?

What services do you offer?

Residential
Commercial Retail
Corporate Offices
Paint Color Consultations
Other

If other, please specify.

Are there any areas of the home that you want to focus on?

If other, please specify.

What other forms of marketing are you currently running?

Email
Direct Mail
Print Ads
Radio
TV
Social Media
Other

Other

Billing

A receipt will be emailed to the email address you provide below.

Email Address for Billing Receipt