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Interested in working with Kite Media? Fill out the form below to provide us with the information that we need to get started with your business. Please be as thorough as possible with the details that you provide – the more you give us to work with, the more we can do for you and your business.

    General Information

    Your Name (required):

    Your Email (required):

    Your Personal Phone Number:

    Which Services Are You Interested In? (Check all that apply)
    Pay-Per-Click (PPC)Search Engine Optimization (SEO)Social Media MarketingWebsite DesignGraphic DesignBrandingVideo ProductionEmail MarketingNot Sure?

    Business Information

    Your Business Name:

    Business Phone Number/s:

    Business Physical Address:

    Business Email:

    *Ask us about setting up a custom email address for your business:

    Business Website Address:

    Hours of Operation:

    Payment Types Accepted:
    CashCheckVisaMasterCardDiscoverAmerican ExpressBitcoinPayPalGoogle CheckoutVenmoInsuranceFinancing

    What Year Did Your Business Start?

    Business Description:

    Owner Bio:

    Products/Services Offered:

    Specials or Promotions:

    Location Targeting

    Please list your target cities in order of importance:

    Existing Accounts

    Do you have existing accounts with sites such as Google+, Facebook, Twitter, Angie's List, Yelp, Manta,, Google Analytics, Google AdWords or any others? If so, please provide the login information below so we can manage those accounts.

    PPC Account Information

    You can disregard this section if you are not signing up for the PPC service

    AdWords/Bing Ads Account Login Information

    Ad Budget

    Ad Text


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