REV MEDIA GROUP
Website Edits
Fill Out The Form Below
Please provide detailed information for your edits
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Who should we correspond with about this job?
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First
Last
Email to reach you at
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Phone Number to reach you at
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Company
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Type of Edit
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Select An Option
Calendar Updates (Web)
Bio Updates
Disclaimer Updates
License # Updates
Company/Office Location Updates
Logo/Name Change
Copy / Compliance Changes
Other
Calendar Update Type
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Select An Option
Adding New Dates
Edits to Existing Dates
Both
Do you want to display the physical address of the restaurant/venue?
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Yes
No
New Dates
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Add all new dates and include ALL of the following info: Date Time Venue Name (How you would like it displayed) Venue Address Arrive By Time (If you would like this displayed)
Existing Calendar Date Edits
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Please clearly state the edits being made to the calendar and include all needed information (ex: full new address, date being changed and new date clearly stated)
What part of the bio(s) is your edit for?
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Bio (text)
Headshot
Both
Bio Edits
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Please clearly indicate any changes to the bios (edits in regards to headshots will be below)
Did you send us your headshot and/or your team's headshots?
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Yes, I've sent everything!
Yes, but I will upload more
No, I will upload now
No, I don't have them yet
Upload Headshot(s)
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Click or drag files to this area to upload.
You can upload up to 15 files.
Please be sure to label the image file(s) to clearly indicate who's headshot it is
Additional Headshot Notes
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Include anything you'd like to let us know about headshots, such as if we are replacing a current headshot with a new one you uploaded above, or if you have any other edits to the headshots.
Disclaimer Update Type
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New Disclaimer
Edits to Existing Disclaimer
New Disclaimer
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Disclaimer Edits
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Please clearly state the edit
Where is this disclaimer/edit to be displayed?
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Entire Site
Specific Page(s)
Which Page(s) should this new disclaimer or edit be displayed?
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License # Updates
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Please clearly indicate your license number update and include any needed information such as where to include the license, etc
Company/Office Location Update Type
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New Location or Moving Locations (delete existing)
Additional Location(s)
Edit to Existing Location
New Location Address
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Address Line 1
Address Line 2
City
--- Select 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
State
Zip Code
How many additional locations are you adding?
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1
2
3
4
more than 4
Additional Location 1
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Address Line 1
Address Line 2
City
--- Select 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
State
Zip Code
Additional Location 2
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Address Line 1
Address Line 2
City
--- Select 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
State
Zip Code
Additional Location 3
*
Address Line 1
Address Line 2
City
--- Select 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
State
Zip Code
Additional Location 4
*
Address Line 1
Address Line 2
City
--- Select 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
State
Zip Code
Additional Locations (over 4)
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Please add all other additional locations
Location Edit/Additional Info
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Please add any other information about your location update (ex: Titles for the new location(s), where to display or not display, etc)
Logo/Name Change Type
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Logo only
Name only
Logo and Name
What is your Logo/Name Update?
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Please describe your update in detail
Logo File Upload
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Click or drag files to this area to upload.
You can upload up to 15 files.
Please upload your new logo or reference file(s)
Additional Logo/Name Update Info
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Please add any additional info we should know about your update such as where it should/should not be displayed
Copy/Compliance Changes
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Please clearly state your changes
Other Edits:
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Please clearly state your changes
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.
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Yes
No
Who is your seminar coordinator?
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Name
Submit
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