Contact Information

Full Name *

Phone *

Email *

Business Name *

Address

Street Address *

City *

State *

Country *

Country

Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote D"Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea People's Democratic Republic
Republic of Korea
Kuwait
Kyrgyzstan
Land Islands
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Federated States of Micronesia
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Eswatini
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
UK
Ukraine
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United States Minor Outlying Islands
Uruguay
Uzbekistan
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Venezuela
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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Postal code *

Website

By checking this box, I consent to receive transactional messages from Smart Hub System related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications, among others. Message frequency may vary. Message & data rates may apply. Text HELP to +1 (844) 441-0023 for assistance or reply STOP to opt out.

I also consent to receive marketing and promotional messages from Smart Hub System, including special offers, discounts, and new product updates, among others. Message frequency may vary. Message & data rates may apply. Text HELP to +1 (844) 441-0023 for assistance or reply STOP to opt out.

About Your Business

What type of business do you run? (choose one) *

Service-based business
Retail
eCommerce
Coaching
Consulting
Creative Agency
Health & Wellness
Nonprofit/Foundation
Restaurants
Gyms
Salons
Real Estate Agents
Healthcare Providers
Contractors
Freelancers
Affiliate Marketers
Online Educators/Tutors/Course Creators
Training Specialist
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How long have you been in business? (choose one) *

Just starting out

Less than 1 year

1–3 years

3–5 years

5+ years

What best describes your current business stage? (choose one) *

Planning/Pre-Launch

Getting established

Growing & scaling

Well-established & optimizing systems

How many people are on your team? *

Just me

2–5

6–10

11-25

26+

Approximately how many contacts (leads, customers, or clients) do you currently manage? *

0–1,000
1,001–5,000
5,001–10,000
10,001–25,000
25,001+
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Current Tools & Challenges

What tools or platforms are you currently using to manage your business? (Check all that apply) *

CRM (e.g., HubSpot, Keap, etc.)

Email marketing (e.g., Mailchimp, Constant Contact)

Social media scheduler (e.g., Hootsuite, Sprout Social)

Website builder (e.g., Wix, Wordpress)

Funnel/landing page builder (e.g., Click Funnels, Leadpages)

Calendar/booking tool (e.g., Calendly, Doodle)

SMS or VoIP (Calling) service (e.g., Google Voice, Zoom phone, ring central)

I don't know—I’m just getting started

What are your biggest challenges right now? (Check all that apply) *

Organizing Leads and Client Communication

Following up Consistently

Building Funnels or Landing pages

Managing Social Media Marketing

Time-consuming Manual Tasks and Lack of Automation Knowledge

Setting up eCommerce or Order Tracking

Reporting and Analytics

Designing, Building, and/or Updating Website

Branding and/or Marketing Guidance

Reputation Management (Reviews)

High Cost

Too Many Tools

Lack of Integration

Limited Scalability

All of the Above

Other

Do you currently manage internal team communication within your business tools? *

Yes (specify tools, e.g., Slack, Google Chat)

Not necessary

Are you currently using an automation platform? *

Yes

I’ve tried one but it didn’t work well

Goals & Needs

What features are you most interested in? (Check all that apply) *

CRM & Lead Management

Business Automation / Workflows

Website Builder

Funnel Builder

Email, Text, & Voicemail Campaigns

E-commerce Store Builder

Course Creation / Membership Portal

Booking Calendar

Social Media Management

Reputation & Review Management

Affiliate Manager / Communities

Are you interested in any of these exclusive add-ons? *

WhatsApp Business Integration

Business Listings Feature

Branded Client Portal App

WordPress Hosting

Integrated Ad Manager

AI Employee Feature

Not Sure

None

Would you be interested in additional services to maximize SHS’s value? *

Marketing Strategy Consulting

Website/Funnel/E-Commerce Store Design

Email/Follow-Up/Ad Campaign Creation

Monthly Campaign Management

Graphic Design

Website Customizations

Dedicated Account Manager

Print Needs (e.g. Business Cards, Shirts)

None of the above

Do you already have a website? *

Yes, I already have one & I like it

Yes, I have one but I want to change / update it

No, I need help building one

No, I would like it fully done-for-me

No, I don't need one

How soon are you looking to implement a system like SHS? *

Immediately

In the next 30 days

1–3 months

Just exploring for now

What is your budget range for Business Management Platform like SHS? *

Less than $300/month

$300–$500/month

$500–$1,000/month

$1,000-$3,000/month

$3,000-$5,000/month

$5,000+

Not sure yet

Think: CRM, Marketing, Automation and A.I. tools

Final Touch

How did you hear about Smart Hub System? *

Google Search
Social Media
Referral
Advertisement
Event/Conference
Other
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What would success look like after implementing Smart Hub System into your business 12 months from now? *

Example: More leads, streamlined operations, stronger online presence

Anything else you’d like us to know before your demo? (optional)

Write anything else you want to share

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