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First Name *

Last Name *

Organization *

Primary Marketing Contact Email *

Primary Marketing Contact Phone

Address

Tell us more about your businss. What do you do? What are you looking for the most help with?? *

What best describes you? *

I don't know a thing about design and marketing!

I have some basic understanding, but need coaching or someone to do it for me.

I understand design and marketing, but don't have the time to make it happen.

What areas of service are you wanting Block Star to focus on? (Please select all that apply)

Digital Marketing + Social Media

Web Design

Branding

Photo + Video

Public Relations

SEO + Optimization

Other

How did you hear about Block Star and our work?

A friend or colleague
Google
Social Media
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What is your ideal estimated budget for these services?

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