Brand Blast Off Entry Form

1. Contact Information
Name(*)
Please type your full name.

Organization(*)
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Address(*)
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Address 2
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City(*)
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State(*)
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Zip Code
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E-mail(*)
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Phone Number(*)
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2. Company or Business Information
Tell us about your organization or business.(*)
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What is your website URL?(*)
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Is this a new or existing brand?(*)

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Have you ever worked with a marketing agency, advertising agency, web design firm, or graphic designer before? If so, how was your experience?(*)
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What do you feel needs to change regarding your brand and marketing?(*)
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What type of budget would you be able to put against a 6 month marketing plan?(*)

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When did your business start?(*)
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By checking this box, you are agreeing to the Terms and Conditions of MCG's Branding Giveaway.(*)
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