Business Name Primary Contact Name Telephone Email Address Website URL Who Is Your Webmaster? Who writes your content? Who administers your email? Do you have access to your website including the domain, the server, and the website dashboard? (Ability to sign in) Social Media Accounts - Check All That Apply Social Media Accounts - Check All That Apply Facebook Google Plus Twitter LinkedIn Pinterest YouTube Instagram LinkShare Have You Run Google Adwords Campaigns? Have You Run Google Adwords Campaigns? Yes No Have You Run Facebook Ad Campaigns? Have You Run Facebook Ad Campaigns? Yes No Have You Run YouTube Ad Campaigns? Have You Run YouTube Ad Campaigns? Yes No Have You Run Instagram Ad Campaigns? Have You Run Instagram Ad Campaigns? Yes No Have You Run Ad Campaigns on Apps and Games? Have You Run Ad Campaigns on Apps and Games? Yes No Have You Run LinkedIn Ad Campaigns? Have You Run LinkedIn Ad Campaigns? Yes No 10 + 5 = Submit