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EVINE MEDIA
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Intake form
Help us serve you better
Name
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Email address
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What services are you interested in?
Please select at least one option.
Digital Marketing
Social Media Management
Paid Advertising
Digital Skill Mentorship
What is your preferred method of contact?
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Email
Phone
Social Media
What is your budget range for these services?
Select
Less than $500
$500 - $1,000
$1,000 - $5,000
$5,000 and above
How did you hear about us?
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Social Media
Search Engine
Referral
Advertisement
Describe your business or project in a few sentences.
What are your primary goals for engaging our services?
Which service or services are you interested in?
Please select at least one option.
Digital marketing
Social media management
Social media advertising
Digital skills mentorship
Additional questions or comments
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