Social Media Launch Form

Company Name/ DBA *

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

Website URL *

Marketing Information

#1 Business Category

#2 Business Category

#3 Business Category

#1 Priority Product/ Service

#2 Priority Product/ Service

#3 Priority Product/ Service

Additional Products or Services Notes

Social Media Design

Would you like us to follow the basic color scheme of the website?

If no, what color scheme would you like us to use?

Social Media Information

Facebook E-mail

Facebook Password

What Name would we use for the Social Media Profiles?

Keywords for Social Media

Additional Comments about Social Media

Company Representation

Ok to say you are #1?

Promotions, Sales, and Discounts

Special Interests to Post About

Company Description

Guarantees, Return Policy, and Refunds