PRIORI SMART VIDEO INFO REQUEST FORM DEMANDE D'INFORMATION

VOUS RECEVEZ CETTE DEMANDE D'INFORMATION SUITE À
VOTRE PROJET DE CRÉATION DE VIDÉO. (english)

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YOU RECEIVED THIS INFO REQUEST AS PER YOUR VIDEO

CREATION PROJECT

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Please give us your information / SVP Nous fournir vos coordonnés

First Name / Prénom *

Last Name / Nom de famille *

Organization Name / Nom de l'entreprise *

Title / Poste *

Street Address / Rue *

Address Line 2 / Adresse 2

Suite / No de Suite

City / Ville *

State / Province *

Zip Code / Code Postal * 🛈

Phone Number No. de Tél. * 🛈

Cell Phone Number / Tel. Cellulaire * 🛈

eMAIL Be sure to use a valid eMail address *

eMail Address confirmation *

Please select the item you are interested with:

Witch of the following items would you like ?

*

Please in order to help us before our first one on one phone cal please answer the following question: *

	Do you have a website		Do you have a Facebook page		Do you use an Autoresponder		Do you hve corporate video
you must have at least one item

In witch type of business are you

	you must have at least one item
Please fill	you must have at least one item

How old is your business

	you must have at least one item
Please fill	you must have at least one item

If you are making Online Marketing answer

	you must have at least one item
Restaurant	you must have at least one item
Spa	you must have at least one item
Gym	you must have at least one item
Clinic	you must have at least one item
Real Estate	you must have at least one item
Insurance	you must have at least one item
Car Dealer	you must have at least one item
Clinic	you must have at least one item
Retail Store	you must have at least one item
Other	you must have at least one item

Your type of Online Marketing

	you must have at least one item
Facebook	you must have at least one item
Twitter	you must have at least one item
Pinterest	you must have at least one item
Instagram	you must have at least one item
Youtube	you must have at least one item
Vimeo	you must have at least one item
Web Coupon	you must have at least one item
eMail	you must have at least one item
SMS	you must have at least one item
Other	you must have at least one item

Please call me back at : *

Or email me back at :

Please sign here *

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1 - Smart Personalized Video 30sec to 60sec	2 - Smart Personalized Video 60sec to 2min
3 - Smart Personalized Video Sales Funnel	4 - Smart Personalized Video Sales Campaign
5 - Smart Personalized Video Sales Funnel + Campaign	6 - Smart Video Leads Capture Page
7 - Smart SM Video Marketing Campaign	8 - Smart SM Video Sales Campaign
9 - Smart Video Website	10- Social Media Page Creation
11- Social Media Page Creation Management	12- SEO Campaign
13- SMM Campaign	14- SEO Marketing
15- SMM Marketing	16- SmartAutoresponder
17- Press Release	18- TXT Autoresponder
19- Online eStore	20-eReputation Fixing
21-Other