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Please complete this form.Official Business Information that Can be Listed OnlineBusiness Name*Name of Contact*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Office Number*Contact Email* Hours of OperationClick the + sign to the right of each field to add another field. 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List any upcoming events, conventions, and/or important dates.Click the + sign to the right of each field to add another field. 30 second elevator speech you use when talking to prospects.20 most important keywords / search termsGoogle OptimizationTarget States:Target CitiesYour primary Google Ads conversion objective Phone Call Form Submission If you already have a Google Ads account, please give caryn@youspeakeasy.com "Read / Analyze" access to Google Analytics.Facebook Ads IntakePlease note that your AD cannot be created until you add @carynterradas as an ADMIN on your Facebook page.Business Name*Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Facebook URL* Please add @carynterradas as an ADMIN on your Facebook page.Instagram URL Facebook Add Objective* Likes Website Traffic Engagement Facebook Ad Location* Facebook Instagram Facebook Messenger Auto Placement (includes All of the Above) AudienceLocationAge RangeGender Male Female Income RangeEducationOccupationRelationship StatusSelect all that Apply Married Single Divorced Not Important Likelihood to PurchaseSelect all that Apply Within the Next 3 Months Within the Next 6 Months Within the Next Year Describe your Ideal ClientFor example, what are their hobbies and interests. The more information provided, the more targeted your ad will be. Ad SpecificsStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Total Budget for this Time PeriodGraphics or Videos to Use in Your AdInclude the URL to images and videos - one per field. Click the + sign to the right to add new fields. Ad HeadingAd Body TextPlease note that your AD cannot be created until you add @carynterradas as an ADMIN on your Facebook page. Interested in Our ServicesBusiness NameIndustryIn what Services are You Interested? Please check any that apply to your needs or interests.Consulting Audit Other: Please Explain Below Other ConsultingDescribe your situation, question, and/or general area you need help with digital marketingTraining Social University One-on-One: Live One-on-One: Webinar Group: Live Group: Webinar Public Speaking Public Speaking: Date MM slash DD slash YYYY Public Speaking: LocationPublic Speaking: TopicPublic Speaking: BudgetPublic Speaking: Number of ParticipantsManaging Facebook Instagram Pinterest LinkedIn YouTube Twitter Blog Email Advertising Google Facebook Pinterest YouTube LinkedIn Δ Phone, Call or Text 205.540.5846 Email Me info@ yoursocialu.com Facebook IM /StaySocialU Twitter /StaySocialU Press Kit /press-kit/