Advertising Consultation Form Thank you for your interest in Quick Strike Media! Please complete the form below to help us better understand your business and advertising needs.Please enable JavaScript in your browser to complete this form.Business Information Business Name: *Authorized Contact Name: *Business Phone Number: *Authorized Contact Cell Phone Number: *Business Email Address: *Authorized Contact Email Address: *Business Mailing Address: *Business Website:Business Overview Primary Industry: *Please briefly describe what services and products your company provides:Current Forms of Advertising Being Utilized:Primary Area for Advertising (Select Any That Apply):Local onlyPlus 25 milesPlus 50 milesPlus 75 milesPlus 100 milesState-wideRegion-wideNationallyAdvertising Budget and Objectives Apply): Website: provides: Current Monthly Advertising Expenditure:Return on Investment with Current Advertising Company:Target Monthly Advertising Expenditure:Is the Business Currently Utilizing Co-op Dollars from Manufacturers?YesNoAdvertising Goals Primary Reason for Advertising (Select Any That Apply):BrandingImmediate SalesProduct LaunchBusiness StartupAre You Familiar with Geofencing Technology and Data Collection to Target Consumers?YesNoKey Dates Current Advertising Contract End Date:Desired Advertising Start Date with Quick Strike Media:Thank you for providing this information! A Quick Strike Media representative will review your submission and contact you shortly to schedule your consultation. Quick Strike Media Innovative Advertising Solutions for Modern Businesses Submit
