Prospect Pitch Request Form Prospect Pitch Request Form "*" indicates required fields Your Agency InfoYour Agency's Name* Your Agency's Website* Your Name* First Your Email Address* Your Phone Number*“Please include country code. Example, for USA: 1 (570) 555-5555”End-Client InfoClient's Business Name* Select Smart Niche*Auto Services – Body ShopAuto Services – Repair General/MechanicChiropractor – GeneralCPADental – Cosmetic DentistryDental – Dental Implants / DenturesDental – General DentistryDental – Orthodontist / InvisalignDoctor – General PractitionerDoctor – Urgent CareElectrical – General ElectricianElectrical – Need SpecificElectrical – RewiringFuneral Services – CremationFuneral Services – GeneralHouse Cleaning – CarpetHouse Cleaning – General CleaningHVAC – AC Installation/RepairHVAC – CommercialHVAC – GeneralHVAC – Heat Installation/RepairLandscaping – Artificial LawnLandscaping – Fence CompanyLandscaping – GeneralLandscaping – HardscapingLandscaping – Sprinkler SystemsLegal – Bankruptcy – GeneralLegal – Criminal – Defense LawyerLegal – Criminal – DUI/DWI LawyerLegal – Estate Planning – GeneralLegal – Estate Planning – ProbateLegal – Family – Child CustodyLegal – Family – DivorceLegal – Family – GeneralLegal – Immigration Lawyer – GeneralLegal – Personal Injury – General & Vehicle AccidentLegal – Workman's Compensation LawMoving & Storage – MoversMoving & Storage – Storage SolutionsPaving – CommercialPaving – General/DrivewaysPest Control – GeneralPest Control – Indoor BugsPest Control – Indoor MammalsPest Control – MosquitoPhysical Therapy – GeneralPlumbing – Service PlumberPlumbing – Water HeaterRemodeling – BathroomRemodeling – CountertopsRemodeling – KitchenRemodeling – Window ReplacementRemodeling – Basement WaterproofingRoofing – General (Residential/Commercial)Roofing – Metal RoofsRoofing – Storm DamageSolarWater Damage – GeneralWater Damage – Mold RemediationWeight Loss – CoolsculptingWeight Loss – GeneralWeight Loss – MedicalBeta: None of the aboveBeta Niche* This not standard Smart Niche but experimental Beta, list industry details. Is the end-client currently running google ads?* Yes No End-Client's Full Business Address* End-Client's Business Phone Number* “Please include country code. Example, for USA: 1 (570) 555-5555”End-Client's Website URL* Geographic Locations to Show Ads*Can be cities, states/provinces, counties or geographic radius’s (ex 25 miles around Toronto).Special Offer for PPC Ads*examples: ‘Free Consultation’ or ‘Special $59 New Patient Offer’. PRO TIP: Make sure the offer is compelling and competitive for the client’s area!Website of Competitor No. 1* Website of Competitor No. 2* Website of Competitor No. 3 Website of Competitor No. 4 Website of Competitor No. 5 CAPTCHA
