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HotShotsFXMedia.com - Custom Intranet Design
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Name
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Business Name (optional)
What city / state is your business based out of?
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Cell Phone Number.
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Alternative Phone Number
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Email Address
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How did you hear about us?
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Seach Engine (Google, Bing, Yahoo, etc)
Social Media
Current Client
Previous Client
Referred to us
None of the above
If you were referred by someone or by a company, please enter their name below. If not, type N/A
If you have a discount code, please enter it below.
Best day and time frame to reach you for a 20min consultation call?
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Monday Mornings: 9am - 12noon
Monday Afternoons: 1pm - 4pm
Tuesday Mornings: 9am - 12noon
Tuesday Afternoons: 1pm - 4pm
Wednesday Mornings: 9am - 12noon
Wednesday Afternoons: 1pm - 4pm
Thursday Mornings: 9am - 12noon
Thursday Afternoons: 1pm - 4pm
What industry is your business in?
Ex. Medical & Health, Hospitality, Food & Beverage, Beauty, Sports & Fitness, Real Estate, Business, Music / Entertainment, etc.
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What industry is your business in?
Ex. Medical & Health, Hospitality, Food & Beverage, Beauty, Sports & Fitness, Real Estate, Business, Music / Entertainment, etc.
*
List your website domain name below. We need to review your website.
Ex. HotShotsFXMedia.com
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What is your budget? Payment plans available!
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$100k (Single Layer Encryption)
$125k
$150k
$175k
$200K (Multi Layer Encryption)
$250k
$275k
$300k (Tri Layer Encryption)
$325k
$350k
$375k
$400k
How soon are you able to make a deposit to get officially started?
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Today
This Week
Next Week
Any additional info you would like to add?
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #1 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
*
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #2 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
*
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #3 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
*
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #4 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
*
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #5 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
*
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