New Client – Website Audit Application Tell Me About YourselfName* First Last Email* Best number to reach you...*Tell me a little bit about yourself...*Tell Me About Your BusinessWhat's the name of your business?*What's your business' website URL( (domain name)?* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Note: We only work within the U.S.Are you incorporated?* Yes No What was your total marketing expense last year?*How much total expense did you spend on your website last year?*Which best describes your business?* Solopreneur (just you) Entrepreneur+ (under 10 employees) Small B2C (10-50 employees) Small eCommerce/Retail (10-50 employees) Small B2B (10-50 employees) Medium B2C (51-200 employees) Medium eCommerce/Retail (51-200 employees) Medium B2B (51-200 employees) Large Corporate Business or Public Company Small Non-Profit (annual budget under $100K) Medium Non-Profit (annual budget $101K-$500K) Large Non-Profit (annual budget above $500K) What differentiates your business from its competitors?*Our competitive advantage is...Describe your target audience.*Our ideal customers are...Our digital channels include...*Check all that apply. Website Blog Facebook page Social Advertising (Facebook Ads, etc) Instagram Twitter LinkedIn You Tube Channel Google My Business page Yelp Profile Email Newsletter How Can I Help?What specific website issue prompted you to request a Website Audit/Review?*What is the most important thing you want your website to accomplish?*My timeframe to begin the website audit is...* ASAP Within the next month Within the next 90 days Almost done...Thanks for providing your information. Once you click "Complete Application" you'll be directed to complete your payment of $397. Upon receipt, I'll be in touch within 24 hours. Thank you. I'll talk to you soon. Kathi. Δ