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First  Name *
Last  Name *
Email *
Phone Number
Company Name *
Website URL
Briefly describe your business and industry *
What are your primary goals for digital marketing? (e.g., increase website traffic, generate leads, boost sales, brand awareness, etc.)
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Who is your target audience? Describe your ideal customer or client 
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Are you currently running any digital marketing campaigns or initiatives? If yes, please describe briefly
List your main competitors or businesses you admire in your industry
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What is your estimated monthly budget for digital marketing?
Which digital marketing services are you interested in? (Check all that apply)
Which digital marketing services are you interested in? Others (please specify)
Specify here if what you want is not on the list above
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