Referring Partner Form
Contact Information • Form Completion
Thank you for your interest in a free competitive analysis for your website. In order to provide a more accurate analysis, please fill out the additional information below.

Business Name

Referring Company Name*

Referring Contact Name*

General Information

First Name*
 Last Name
Company
Address
City
State
Postal Code
 Country
Email*
Day Phone*
 Evening Phone

Business / Customer Information

Please explain your core products or services

Number of Employees

Number of sales reps

What geography do you compete in
Do you currently have a website?

What is the URL
Do you control the changes on your website?
Do you have a dedicated individual who is involved in updating and marketing your online business?

If yes, how much time do they dedicate?

How was it working?

What does it cost to generate a lead?

Estimate of the lifetime customer value, what is a customer worth?

Currently do you track traffic and buying trends on your website?

List the top 5 keywords or Keyword Phrases for your business

List the company names and URLs of up to 3 of your fiercest competitor

What options have you tried or considered when pursuing your goals?

Who besides yourself will be involved in the decision making process?