Enquiry/Registration - SEO/SEM Consulting and Training Assistance

SEO/SEM CONSULTING/TRAINING INFORMATION REQUEST
Contact Name:
Position:
Company/Organisation:
Business description/purpose :

Main products/services :

Are you prepared to invest at least $3000 AUD into this project (Derek’s fee, website designer, statistics, etc) ?

Yes No

Are you prepared to be actively involved?

Yes No

Website (if existing):
Email:
Telephone Number:
(including area code and international code)
Fax Number:
(including area code and international code)

What contact method do you prefer?

Email Telephone No preference

I am interested in:

Consulting assistance
Customised, intensive training
Combination of both

Website description/purpose :

Target audience :

Required consulting/training description :

Webmaster's name, position, company :
(if different to Contact)

Reason for interest:

Expected outcome:

Other relevant factors:


Do you have access to comprehensive website statistics? (see: web statistics for more information).

Yes No

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