New Client Form

Please complete the information below so we can get started. Contact me at jana@cooperroadmarketing.com if you have any questions.

Main Point-of-Contact

First Name

Last Name

Contact's Email:

Contact's Phone Number:

(###)

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Business Name:

Business Email (if different):

Where you would like marketing emails delivered. Often it is an info@ or hello@ general email account.

Business Phone Number (if different):

Phone number you would like listed on marketing materials.

(###)

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Business Address

Website Address (if applicable):

http://

Business Goals

How did your business start?

What services do you provide?

Describe your perfect client.

What problems + solutions do you solve?

Your Style

Name 5 adjectives to describe your business.

If your business were a color palette which would it be?

Additional marketing requests or need to knows?

#craftyourmark