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First Name:
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Last Name:
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Email:
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Phone:
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On a scale of 1-10 What Is Your Interest in Brand Builder Academy?
10 - very interestered
9
8
7
6
5
4
3
2
1 - slightly interested
What do you hope to accomplish with your marketing at Brand Builder Academy?
Is your focus Local or National in your Branding?
Local
National
Could you see yourself on Camera or would you prefer to have a Professional Spokesperson represent you?
I can go on Video
I would Prefer a Spokesperson in my Place
What is the name of your current business?
What Marketing Methods Do You Currently Use to Advertise Your Business?
(hold the CNTRL button to select multiple)
Print Advertising
Yellow Pages
Billboard Advertising
Radio Commercial
Television Commercial
Television Infomercial
Television Co-Op Advertising
Word-of-Mouth
Internet Banner Advertising
Internet Pay-Per-Click
Do you have a website?
yes
no
If Yes, what is the URL?
http://
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