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   Create your internet marketing request for quote  
Please note: Due to the costs involved in delivering effective Internet marketing campaigns, our service providers require that the minimum investment in your campaign for this quote request be at least $2,000.
1) Please provide the following information:
Your Information
First Name:  [required]
Last Name:  [required]
Title/Function:  [required]
E-mail Address:  [required]
Phone Number:  (ex: 617-555-1234)  [required]
Your Company Information
Company Name:  [required]
Industry:  [required]
Street Address:   [required]
City:  [required]
State / ZIP:    [required]
Preferred First
Contact Method:
No Preference
By Phone
By Email

Company Size: (# of Employees)  [required]
2) How did you hear about Medley's services?
Print Ad
Online Ad
Email
Industry Association/Organization
Referral
Other
3) Are you currently involved in any Internet marketing activities or programs at this time?  
No - We are not currently involved in any Internet marketing
Yes - We are currently involved in some Internet marketing

If yes - What Internet Marketing efforts have you tried? (Check all that apply)
Search engine optimization/SEO (Get ranked higher on search rankings.)
Search engine/keyword marketing (Generate traffic through paid advertising.)
Directory submission/Paid inclusion (Get included in search rankings.)
Email Marketing
CRM
Interactive TV
Creative/Rich Media
Data Mining & Marketing Reports
Other (please specify):

4) What Internet marketing service(s) are you primarily interested in at this time? 
(check all that apply)
Search engine optimization/SEO (Get ranked higher on search rankings.)
Search engine/keyword marketing (Generate traffic through paid advertising.)
Directory submission/Paid inclusion (Get included in search rankings.)
Email Marketing
CRM
Interactive TV
Creative/Rich Media
Mobile/Wireless
Not sure - Please advise me of my best options
Website design and marketing (including banners/pop-ups)
Other (please specify):

   

Please note: In order for our service providers to provide SEO services effectively, you must have direct access to web files and/or source code for your Web site so that modifications are possible.

5) What are the desired results of your Internet marketing campaign?  
(check all that apply)
To sell products and services on my website
To generate qualified leads for my products and services
To build awareness of my product or company
Other (please describe)

   
6) Please list the Web address or URL for the site you wish to promote through Internet marketing:  

(i.e. www.mywebsite.com)
7) What is your estimated budget for this Internet marketing campaign?
Less than $4,999
$5,000 - $9,999
$10,000 - $19,999
$20,000 - $49,999
$50,000+


What percentage of your total advertising budget is reserved for Internet Marketing?
<10%
11 - 25%
26 - 50%
51 - 75%
76 - 100%

Please note: Our suppliers require a minimum investment of $2,000 to ensure a successful Internet marketing campaign. It is important to note that SEO services start at $2,000 and paid traffic programs require at least a $500 monthly investment

8) When do you want to start your Internet marketing campaign?
ASAP
In two weeks
In one month
More than two months
9) What is the geographic focus for your Internet marketing initiatives?
We are looking to market our Web site globally
We are looking to market our website to US customers only
We are looking to target only specific regions (please list)

   
10) Please describe any additional details regarding your company, web site, and this Internet marketing campaign:
   
Yes, I wish to receive Medley.com’s bi-weekly email Tips & News newsletter