Campaign Form Landing Page - Rev Media Group

Fill Out The Form Below

Please provide detailed information on your campaign

Who should we correspond with about this job? *

First

Last

Email *

Phone *

Agent Name *

First

Last

Company *

Webinar or In-Person? *

Webinar
In-Person

Are we doing a full marketing campaign: a Landing Page, 3 Text Messages, and 3 Emails? *

Yes
No

Do you also want a print piece? (not included in flat rate) *

Yes
No

Is there a capacity for your event(s)? *

Yes
No

Do you want registrations shut off by a certain date? *

Yes
No

File Upload - Please attach any photos/links/maps that you would like us to incorporate

Click or drag a file to this area to upload.

Mailing list in excel formatting *

Click or drag files to this area to upload. You can upload up to 5 files.

Do you want reminder emails and/or texts? *

Yes
No

Email address for leads (will send final list the day before) *

Reply-To Email Address (for Constant Contact) *

Any special instructions for the design or any additional notes? *

Billing:

Should we bill the Revolution directly? Please note that the Revolution pays IMMEDIATELY, so if you would like to review the invoice first, select No. *

Yes
No

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REV MEDIA GROUP

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