INTAKE FORMS

Target Lead Form

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Account Manager

If unsure, you can leave this blank.

Name(Required)

First Last

Email(Required)

Company(Required)

Cell Phone(Required)

Do you have Sales Navigator on your LinkedIn?(Required)

Yes

Sales Navigator is an add-on LinkedIn feature that is required for us to run our campaign.

If you do not have it, please click here and purchase Sales Navigator Professional for your LinkedIn account. We recommend purchasing the monthly plan.

Target Location (ex. United States, Jacksonville FL, etc.)(Required)

Target Industry (ex. medical, retail, law practice, etc.)(Required)

Select the following seniority levels you prefer:(Required)

Owner

Partner

CEO

CFO

Director

Senior

Entry

Anything else you'd like to share about your target demographic?

Target 1 First Name

Target 1 Last Name

Target 1 Company

Target 1 Linkedin

Target 2 First Name

Target 2 Last Name

Target 2 company

Target 2 Linkedin

Target 3 First Name

Target 3 Last Name

Target 3 Company

Target 3 Linkedin

Target 4 First Name

Target 4 Last Name

Target 4 Company

Target 4 Linkedin

Name 3 industries that can refer business to you.(Required)

What organizations do you belong to? (rotary, chamber)(Required)

What nonprofits do you support?(Required)

Name 3 industries that you focus on:(Required)

What boards do you serve on?(Required)

What are the last 3 deals that you were a part of?(Required)