Social Media Form | Social Media Marketing for Elder Care, Home Care, and Senior Service Marketing

Social Media Information Collection

Remember, we set up most of your accounts as a “PERSON”, and then add additional information about your “BUSINESS”. Social media marketing is about human interaction so choose someone in your organization who is will to be the “face” for your company. This might be an owner, a marketing director, administrator, or anyone else who is willing to participate with us on this journey.

• Professional Profile Portrait Image*

  >300px wide

• Company Logo*

  Preferred format: transparent background, 72 dpi, 600 px wide, .png file

• Other Materials

  Videos, PDF brochures, etc that you think might be helpful to us as we set up your online information. We will use as much of it as we can.

• File #2
• File #3
• Brief Personal Bio*

• Basic Information

• Main Project Contact*

  FirstLast

• Your Business Name*
• Person’s name we are using for account setup*

  FirstLast

  Can be the same as main contact

• Person's role within your business*

  Owner, marketing director, etc.

• Date of Birth*

  Required for some security questions

• Business Address*

  Street AddressCityState / Province / RegionZip / Postal Code

• Business Website #1
• Business Website #2
• Phone*
• Fax
• Your Email*

• Additional Business Info

• What is your primary line of business?*

  Home care, assisted living, etc.

• List Your Top 10 Service Cities in Order of Preference*

  Meaning, give me 10 cities (not counties) where you want to show up in a Google search result

• Notes or Information We Should Know About Your Business?

• Do you have any of the following accounts set up already?

  If so, please provide your user name and password.

• Facebook Login

  Yes, we do need your Facebook personal account login information, no we will not set up an additional account

• Facebook Password
• LinkedIn Login
• LinkedIn Password
• Scribd Login
• Scribd Password
• MerchantCircle Login
• MerchantCircle Password
• GoArticles Login
• GoArticles Password
• Ideamarketers.com Login
• Ideamarketers.com Password
• Twitter Login
• Twitter Password
• Squidoo Login
• Squidoo Password
• FriendFeed Login
• FriendFeed Password
• Are you set up on www.theseniorlist.com?*
  • Yes
  • No

• Anything else you want us to know?

• Additional Information

Images:

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