Your Information

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Business Information

Business Name*

Common Business Names

Other names that your business is commonly called (Ex. Patty's Irish Pub referred to as Patty's or Patty's Pub).

Industry*

Describe your business*

Tell us about yourself, your mission, your vision, company history. What do you do? What sets you apart? What is your brand?

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Leave blank if you don't have one

Google Business Profile Link

Leave blank if you don't have one

Social Links

Facebook

Instagram

X

Formerly Twitter

Competitors

List three of your competitors below

Competitor 1 Name

Competitor 1 Website

Competitor 2 Name

Competitor 2 Website

Competitor 3 Name

Competitor 3 Website

Marketing

What is your projected Annual revenue for 2024?

How much is an average sale?

What is the average lifetime value of a customer?

What is your average close rate?

What is your cost per acquisition?

Describe your current/previous marketing efforts

What have you tried? What worked? What didn't work? Have you previously or are you currently running ads?

Final Notes

Why do you want to join the Summit Program?

What do you hope to gain? What are your current strong points? What are your weak points? In your own words, how can we best help you?

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All-Inclusive Digital Marketing Overhaul

The Summit Program

By Wildman Web Solutions

Deadline To Apply for Q4

Summit Program Application