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HubSpot Lead
Lead Capture form for hubspot
Assign to:
*
Please Select One
Ryan Lowe
Orlando Lugo
Kimberly Ellis
Matt Roman
Contact Information
Title
Name
*
First
Last
Address for company
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Email
*
Phone
Linkedin (user)
This is the URL of the contact's profile.
Attachment (Contact)
Perfect for audits, images, and/or any other initial research that you've done. Any attachments will be added to the
contact
.
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx.
Note
This is an optional note that would be added to the contact. Good to use for pasting a conversation from linkedin, research you've done, etc.
This will be added to the note tab on the contact's profile.
Do you have more to add?
These items might be a little buggy, so please add in and check in HubSpot and submit a ticket for issues you come across.
Also add company, task, deal
Add Company
Add Deal
Company Name
Company Domain Name
Deal Owner:
*
Please Select One
Ryan Lowe
Orlando Lugo
Kimberly Ellis
Matt Roman
Amount
Deal Potential Value. Once we build this in proposify, this should be overwritten.
Close Date
Estimate for a close date.
Date Format: MM slash DD slash YYYY
Attachment (Deal)
Perfect for audits, images, and/or any other initial research that you've done.
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx.
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Google My Business Package
Name
*
First
Last
What is your companies website address? From here we'll setup your QR code and more.
Website
*
Phone
*
Email
*
What would you like to accomplish most with your Google My Business Account.
×
Epic!
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