Welcome to Retention Media!

Please put aside at least 15-45 minutes to complete this form.
The following questions help us understand your project and make sure we are a good fit to work together.

If you have any issues or questions leave this page open and please email [email protected]

Step 1 of 5

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  • Purpose

    The main purpose of this form is to give you an opportunity to tell us why you need help with your website and what you want to achieve. The more information you give us here, the better the solution we will be able to provide. Ignore any questions that are not relevant.
  • Business Snapshot

  • Be honest and we will tell you what we can and can't do.