Social Media Intake Form

Social Media Intake Form
Need assistance completing this form - call Tim +1 858 768 9981 (US) +61 412 734 454 (AU)
YOUR CONTACT DETAILS

The information you provide in this form will assist with setting up your Social Media marketing program. [ * is a required field ]
Your Full Name*
Your Email*
Mobile Phone*
BUSINESS DETAILS
Full Business Name*
Public Facing Business Name (Business Nickname)*
ABN*
Main Phone*
Address *
Do you have more than one location? *

YES (We will give you an additional form to complete for those)NO (This is my only location)
MAIN BUSINESS DECISION MAKER
Decision Makers Name*
Decision Makers Email*
Decision Makers Phone*
MANAGER FOR SOCIAL MEDIA MARKETING
Check here if same as Decision Maker

Yes
Social Media Manager Name
Social Media Manager Email
Social Media Manager Phone
MARKET / INDUSTRY INFORMATION
What is your primary industry / niche?*
What is your secondary industry / niche?
In order of importance, what are the top 1-3 products or services you are focused on selling?
Product / Service #1*
Product / Service #2
Product / Service #3
Describe the customers you’re trying to sell to: (age, sex, income, likes, dislikes etc…)*
Name the top 3 - 5 things about you / your company that make you unique in the marketplace / better than your competition?*
Company Website Information
Do You Have A Company Website? *

YesNo
Do You Have A Company Blog? *

Yes, it is separate from my websiteYes, it is part of my main websiteNo
FACEBOOK
Do You Have A Company Facebook Account? If Yes, What Is The Link to the Page?
Who manages your Facebook? [If different from Social Media Manager]
Facebook manager phone / email
TWITTER
Do you have a corporate Twitter account? If Yes, What is the Link to the Account?
YOUTUBE
Do you have a corporate YouTube account? If Yes, What is the Link to the Account?
LINKEDIN
Do you have a corporate, or individual, LinkedIn account? If Yes, What is the Link to the Account?
GOOGLE+
What is your Google+ Business page URL?
INSTAGRAM
What is your Instagram Business page URL?
Please provide any other names, contact information or additional information you think may be helpful.
Should be Empty:

YOUR CONTACT DETAILS

BUSINESS DETAILS

MAIN BUSINESS DECISION MAKER

MANAGER FOR SOCIAL MEDIA MARKETING

MARKET / INDUSTRY INFORMATION

Company Website Information

FACEBOOK

TWITTER

YOUTUBE

LINKEDIN

GOOGLE+

INSTAGRAM