Kings Media Application Form

APPLICATION FORM

First Name *

Last Name *

Email *

Phone *

Website (if any)

Social Media Handle *

Name of your business/brand *

Where are you located? *

What type of business do you own? *

How long have you been in your industry for? *

What marketing are you doing right now? (select all the apply) *

What marketing have you tried before? (select all that apply) *

What is your goal when it comes to marketing for you? (select all that apply) *

What’s your biggest marketing challenge? (Select all that apply) *

How quickly are you trying to solve your marketing problem? *

What's your current monthly revenue? *

Whats your target monthly revenue? *

Investing into marketing to increase your revenue is a financial commitment, what describes you best? *

How did you find out about us? *

Will all the decision makers be on this call? *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages and emails from Kings Media.