E-mail Request Form

Your Name

Your E-mail

Your Phone

Type of Request

EVENT: Distribution to Individual Clients

EVENT: Distribution to Group(s)

GENERAL: Distribution to Individual Clients

GENERAL: Distribution to Group(s)

NURTURE: Distribution to Individual Clients

NURTURE: Distribution to Group(s)

Other (Describe below.)

'OTHER' Description:

Intended Day and/or Time for Sending Your E-mail or Blast E-mail:

Intended Recipient Quantity / Group (i.e. 5000? particular firm?)

Text Content

Please put the text or ideas you would like the e-mail to contain, here.

Description of Graphics

Description of Graphic Components. Please note whether they are a REQUIREMENT or a REQUEST.

EVENT DETAILS (If your e-mail pertains to a particular event, specify below.):

Date

Event Title

Event Location

Hosting Organization

Miscellaneous Event Details

Does this event require a CUSTOM attendee registration form?

Yes

File Upload

Upload pertinent graphics or documents, such as: profile picture; images or text you'd like to reference or to include within the graphic or document; etc.

If you have uploaded logo(s) or graphic(s) FROM ANOTHER SOURCE, have you gotten permission from the source to utilize it(them)?

Yes

No [Will not be used without permission.]

No OUTSIDE SOURCE Graphics Have Been Uploaded

Desired E-mail Style (e.g. Professional, Colorful, Cartoony, or other style(s) you would like):

Does this e-mail require a CUSTOM graphic?

Yes

Would you like this e-mail to have a SOCIAL MEDIA post?

Yes

Important Notes:

Include any additional notes you believe will be necessary or helpful.

E-mail Request Form

EVENT DETAILS (If your e-mail pertains to a particular event, specify below.):

Make a Payment

Thank you!