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Company Name*:

Company Location (City/State)*:

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Size of Company: please select <$50M $51-$250M $251-$500M $501M-$999M $1B+

Desired location of marketing service firm(s) selected: please select Local Regional No Preference

Please provide the scope of work you are looking to service as it relates to geography: please select National Regional Local Other

If other, please specify:

Please select the area(s) where you are seeking help (check all that apply):
Digital (web/social/mobile) Print Broadcast Sales Collateral Event Marketing Media Planning & Buying Public Relations Package Design Promotions Direct Mail/Marketing In-Store Merchandising Marketing Research Marketing Consultation Other

Estimated size of budget: please select <$10K $11-$50K $51-100K $101-$200K $201-$500K $501-$999K $1M-$5M $6M-$10M $11M-$20M $21M-$50M $51M-$100M $101M-$150M $150M+

Desired industry specialty of agency (if applicable): please select General B2B General B2C None (Generalist Agency) Healthcare Finance Professional Services Food/Beverage Personal Care Travel/Tourism Restaurant Entertainment Durables Real Estate Technology Retail Auto Other

If other, please specify:

Please provide any additional information you feel we will need in order to help you find a good match to fulfill your marketing/business needs.

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