Email Request Form

Please answer the following questions to help us create your BRANDED EMAIL CAMPAIGN. More information is always better so please elaborate so we can start designing right away to provide you with samples to choose from. This list of questions was created to help us learn as much information as possible quickly. We may have more questions more specific to your project.

Terms and Conditions


Please enter the name of the person who referred you to our services. Our referrals are very important to us.
Referred By
Contact Information
Company Name*
Email Address*
Email Address Confirm*
Postal Code/Zip Code*
If yes, can you provide the file in jpg, ai, eps, pdf digital format?
If no, will you require a logo to be deisgned? (Additional Cost)
Do you have any color preferences, or existing brand colors that will be used in your template??
Do you have any colors that you do not wish to use?
Do you have a current business card, or marketing material we can see to help with the email design?
Email Campaign Goals:
Other Goals for your email:
Social Media
Email Marketing
How many email campaigns would you like to send per year?
Do you have an existing database of clients/customers?
Do you have a means of adding to your database?
Will you want to create a branded email campaign?
What type of opt-in mail list gathering will you use? Do you have a program in place to manage in-house newsletters, bulk personalized e-mails and removal requests? Consider custom forms for gathering information on your site.
Who is your target audience or demographic?
Desired Layout
Email Style:
Do you have a Business Slogan? If yes, what is it?
Contact Information: What are all the different ways visitors can contact you? For example, name, address, phone, fax, 1-800, e-mail addresses, international offices.
Will you require a custom banner to be designed?
Do you have a custom image you would like to have as the background of your site?
Problems: List any current problems experienced with your existing email program.
What’s your preferred deadline?
*NOTE: In the event your custom design requires the purchase of any graphics, clipart, fonts, vector art, etc., that I do not have, the additional costs will be added to the base price.
Once you have completed the online submission form please press the submit button to the right. IF you have not completed a required section, a notice will appear at the top of the page asking you to enter the information.

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