New Client Form

Customer Information

Company Name*

Business Address*

Street Address City State ZIP Code

Business Phone*

Contact Name(s)*

Contact Position (Owner, Manager, etc.)*

Contact Phone Number*

Contact Email(s)*

Email Address for Accounting/Billing Purposes*

Website URL(s)*

Primary Brand*

Factory Authorized*

Yes
No
Salesperson Unsure

Distributor*

Territory Manager*

Salesperson*

Campaign Information

Please provide as much information as possible to help the IT team throughout the website build and SEO process.

Website Build Level*

Value
Level 1
Level 2
Level 3
Level 4
Custom Website
No Website Build

Describe Custom Website (Price and other relevant information)

SEO Product(s)*

Diamond
Platinum
Gold
Silver
Bronze
Value
Custom SEO
None

Describe Custom SEO (Price and other relevant information)

Boost Level*

Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
No Semantixs
Bronze or Value Client
Custom Semantixs

Describe Custom Boost (Price, Level & other relevant information)

Website Hosting?*

Yes
No

Other Services*

PPC - IT Handling
PPC - SearchKings Handling
Hosting & Maintenance
Advanced GMB Management
mta360 Social Media Product
Other
None

PPC Budget*

Description of 'Other' Services

Geo Strategy*

Please follow up with the salesperson if this information is unknown. If the customer is not signing up for any SEO products, enter N/A here.

Hidden

(HIDDEN) Industries to be targeted (HVAC, Plumbing, Electrical, etc.)

Please follow up with the salesperson if this information is unknown. If the customer is not signing up for any SEO products, enter N/A here.

Industries to be targeted with SEO (Select all that apply)*

HVAC
Plumbing
Electrical
Other
N/A - No SEO

What percentage of client's SEO should be focused on HVAC?*

What percentage of client's SEO should be focused on Plumbing?*

What percentage of client's SEO should be focused on Electrical?*

What "Other" industries should be targeted with SEO?*

What percentage of client's SEO should be focused on Other industries?*

Industries to be targeted with PPC (Select all that apply)*

HVAC
Plumbing
Electrical
Other

Any additional notes or special information about the campaign/client:

Attach Ranking Report

Max. file size: 250 MB.

Attach PO*

Max. file size: 250 MB.

Additional Attachments (Geo Strategy, etc.)

Max. file size: 250 MB.