Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Required *

First Name

*

Last Name

*

Company Name

*

Telephone

(Please, provide a phone number in format, where X is a digit)

*

How do you "prefer" that we contact you:

*

Email Address

*

Rep / Firm Name:

Your Current Website:

*

1. Please provide a brief company introduction (around 150 characters) Used and modified for submissions

* Required

2. Please provide a full company or individual background description (around 300 characters) Used and modified for submissions.

* Required

3. What are your expectations and goals for ORM?

4. In our efforts to distribute positive content online through blog posts and other avenues, what primary subject matter would you like us to shine light on?

5. What subject matter would you like us to stay away from?

6. What are the primary products or services you’re looking to market? If your company is pursuing ORM for another reason please detail that here.

7. Do you have any existing videos on youtube.com or any other similar video publication sites? If so please list them with the URL.

8. Do you currently have any blogs external to the target website? If so please list them with the URL.

9. Do you currently have any positive forum postings or reviews online? If so please list the posts with the URL.

10. Do you own any other websites related to the target website? If so please list them and provide the FTP and CMS access details below.

11. FTP username and password of primary website.

12. CMS System Access: URL, Username, Password of your primary website.

13. Do you have any additional social media profiles established such as face book, MySpace, LinkedIn, or any other social media profiles that you update frequently? If so please list all of them with the URL.

14. For Reverse SEO use we may have to create additional social media profiles to optimize. In the event additional profiles are needed, please select 10 profiles from the below social media profiles.

Myspace

Facebook

Youtube

Flickr

SlideShare

Squidoo

Scribd

Yahoo 360

Xanga

Ryze

Bebo

Friendster

Hi5

PerfSpot

Zorpia

NetLog

Ning

Twitter

Linkedin

Yuku

Sodahead

Blogger

Windows Live Spaces

Sixapart

15. Please provide access to any additional websites, social profiles, or other web pages & accounts.

*If we can access other pages, we will be able to better optimize them and have more success ranking them in the search engines.

16. Additional Comments: