Website Review & Analysis

First Name: *

Last Name: *

Email: *

Title/Position:

Phone: *

Ext.

Fax:

Company: *

Company Web Address:*

Do you have multiple websites? If YES... Add Web Address

Does Your Site Have a Webmaster? Please Select... Yes No

If YES... is the Webmaster On-Site or Outsourced? Please Select... On-Site Outsourced

Services You're Interested In (check all appropriate boxes): *

List up to FIVE Keywords or Keyword Phrases you would MOST LIKE to be found for on the Internet: *

(A Keyword Phrase usually contains 2 - 3 words)

List THREE of Your Top Competitor's URLs (if you know them):

Please tell us about your Primary Website Goals:*

Identify Your Immediate Challenge and Main Focus of Website (Check all appropriate boxes):*

How did you find us?* Please Select... Search Engines Business Referral Friend Referral Internet Retailer Magazine Practical E-Commerce SEMPO Radio Ad TV Documentary Postcard Top SEOs BtoB Magazine DM News NY Enterprise Report Search Engine Strategies Conference SB Tech Magazine Long Island Business News Website Services Search Marketing Standard Press Release NY Xpo For Business eComXpo DM Days Billboard truck

Annual SEO & Internet Marketing Budget* Please Select... $40,000 to $80,000 $80,001 to $150,000 $150,001 to $250,000 Over $250,000

Other Comments:

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