What is the name of your business?

Briefly describe your service or product.

What are your goals and objectives?

What are your challenges to achieving those goals?

What is your target market?  Don't know? Leave blank ...

Have you ever used consultants before? Yes       No

How do you feel about change?  (optional)

Do you have a website? If so, what is it?

In what services are you interested? (Check all that apply)

   Web Site Content   

   Gay Marketing

   Advertorials/Ad copy

   Pay-per-click

   Editing

   Home Page Content

   Niche Marketing  

   Press Releases

   Marketing consultation

   E-newsletters

   Ghost Writing

   Landing Pages

   Food Copywriting

   Search Engine Optimization

Approximately what is your budget?  

Where did you hear about Bridge Marketing?

Additional Comments:

Name

Address

City     State / Prov

Country                              Zip / Post  

Phone                  Fax  

Email (required)