Text Box: CLIENT  FORM

 

Salesperson                                      

Station / Cluster                       

Your email:                   

Name of Business     

Your Name               

Type of Business        

Text Box: Please sign up to follow BENMARadio and Finger Candy on Twitter and Facebook

  1 / Length of your radio schedule (number of weeks)     

  2 / How many spots per week        1-6      7-12  13-18   19-24  25+

  3 / Is there a streaming component?      Yes     No

 

  4 / Will it be backed with a click response on the station webpage or are we sending people to your website ?

                      Station Webpage   Client Website  Neither

DATE RADIO COPY TO BE DELIVERED (if copy done live, just write ‘0’)    

 

  5 / Do you have a theme/slogan you wish to carry through radio/ social media?

                                                  Yes   No

IF ‘Yes’, PLEASE PROVIDE HERE ( maximum 20 words)

                

 

  6 / Do you have a website?          Yes   No

IF SO, INDICATE THE ADDRESS    www.  

 

 

PLEASE WRITE A SHORT BIO ABOUT YOURSELF, A GUIDE MIGHT BE TO DESCRIBE WHO YOU ARE, WHAT YOU DO, WHY YOU CREATED YOUR BUSINESS OR WEBSITE, SOMETHING PERSONAL THAT SAYS SOMETHING ABOUT YOU. (maximum 150 words)

  

 

In a separate email, please send a .jpg or pdf of your LOGO along with a PHOTO of yourself

 

 

 

 

 

  7 / What are your goals? (check three that apply)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                IF YOU CHECKED ‘OTHER’, PLEASE EXPLAIN HERE (max 50 words)

                               

 

   8  /   Who are you trying to reach? (check the main group you wish to target

    Under 12 12-18   18-34   35-44   45-54  55-64   65 and over

          

                           SEX     Male      Female       Both

 

  9 /   IF YOU WANTED A SECONDARY MARKET, WHO WOULD THAT BE..? (check one)

     Under 12 12-18   18-34   35-44   45-54  55-64   65 and over

          

                           SEX     Male      Female       Both

 

 

 

 

  10 / What percent of NEW business do you want your social media/radio to drive? 

                                                         (check one please)

      0-10%   10-25%   25-40%  40-60 %  60-80 %  80-100%

 

  11 / What percent of EXISTING business do you want social media/radio to reach and inform?

                                                          (check one please)

      0-10%   10-25%   25-40%  40-60 %  60-80 %  80-100%

 

  12 / Do you understand how your target or prospective customer uses social media?                           

                                                      Yes    No

 

  13 / Do you want a large amount of followers, or fewer but more targeted followers?

                                  Large Amount  Fewer more targeted

 

  14 / What's your online relationship with the audience today? (click as many as apply)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                IF YOU CHECKED ‘OTHER’, PLEASE EXPLAIN HERE (max 50 words)

                             

 

  15 / Do you know what your audience knows about YOU today?

                                                     Yes   No

 

                                    IF ‘Yes’, PLEASE EXPLAIN (limit 50 words)

     

 

 

  16 / If you could target any three groups of customers (ex: STAY AT HOME MOMS, TEENS, SINGLE WOMEN WHO EARN $35,000, NASCAR FANS) who would they be?

                                  (Please list in order of importance to your business)  

         

                                

 

 

  17 / How often would you like to change the basic message you send to customers new and old?  (SPECIALS, NEW ITEMS, NEW EMPLOYEES) (choose one of the following)

       Once a day Once a week Twice a week Bi-weekly  Once a month

 

 

  18 / How often would you like to TWEET messages that say something about you or what you do?

                                                            (choose one of the following

       Once a day Once a week Twice a week Bi-weekly  Once a month

 

 

 

PLEASE EXPLAIN ANY OTHER DETAILS OF YOUR BUSINESS THAT WOULD AFFECT HOW WE DESIGN YOUR SOCIAL MEDIA  / RADIO INTERFACING. (limit  150 words)

   

        

 

 

 

This is our starting point,. We will now work to create a completely interactive package that will bring your business and storefront to the world 24/7. Your integrated media message will soon be part of the total marketing community. Thank you for this opportunity to be part of your success story.

 

                   Jessica Northey                                                  Mark Margulies

                     

 

 

        w/   www.fingercandymedia.com                      w/  www.benmaradio.com

       em/  jessicanorthey@gmail.com                      em/ myinfo@getsocialform.com

                                                                              ph/   877/ 751-6667   toll free  

 

                                                                            

 

 

                                                                   

DEVELOP NEW CUSTOMER BASE

BUILD BUSINESS WITH CURRENT CUSTOMERS

REACH OUT PAST MY IMMEDIATE MARKET AREA

OFFER SPECIALS

BETTER NAME RECOGNITION

ATTRACT DIFFERENT AGE GROUPS 

DRIVE MORE TRAFFIC TO MY WEBSITE

SELL PRODUCTS ONLINE

CREATE E-MAILING LIST

BE ABLE TO ATTRACT CUSTOMERS WHILE THEY’RE OUT SHOPPING

CREATE BETTER WORD OF MOUTH SUPPORT

INCREASE BRAND AWARENESS 

IMPROVE MY SEARCH ENGINE OPTIMIZATION

INCREASE WEBSITE VISITOR TRAFFIC

GAIN MORE PERSONAL CONNECTIONS

OTHER

Text Box: SECTION ONE /  GENERAL  INFORMATION
Text Box: SECTION TWO /  YOUR  INFORMATION

 I HAVE NONE             I HAVE VERY LITTLE

 I HAVE A PERSONAL FACEBOOK PAGE   I HAVE A PERSONAL TWITTER ACCOUNT

       I USE EMAIL   HARDLY     MODERATELY    A  LOT

I UPDATE AND USE MY WEBSITE TO REACH CUSTOMERS

I SOMETIMES UPDATE AND USE MY WEBSITE TO REACH CUSTOMERS

I HARDLY UPDATE AND USE MY WEBSITE TO REACH CUSTOMERS 

I NEVER UPDATE OR USE MY WEBSITE

I HAVE NO WEBSITE

I HAVE OPTIMIZED FOR SEARCH ENGINES

I HAVE NOT OPTIMIZED FOR SEARCH ENGINES

I ADVERTISED ON SOCIAL MEDIA PAGES

I HAVE NOT ADVERTISED ON SOCIAL MEDIA PAGES 

I USED SOCIAL MEDIA BEFORE (FACEBOOK, MY SPACE) AND FOUND IT DISAPPOINTING

I USED SOCIAL MEDIA BEFORE AND DON’T KNOW HOW SUCCESSFUL IT’S BEEN

I HAVE NOT USED SOCIAL MEDIA AT ALL

OTHER

© 2010 BENMARadio, Inc  All rights reserved

Text Box: SECTION THREE /  WHO YOU WANT TO REACH
Text Box: SECTION FOUR /  YOUR SOCIAL MEDIA NEEDS

If radio is not involved at this time, start with question 5

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