Influencers to grown ups

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* 1. Name

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* 2. Company

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* 3. Email

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* 4. Phone

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* 5. Name of billing contact

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* 6. Email of billing contact
[we invoice via email. who should we send to?]

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* 7. Ideal start date

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* 8. I'm in for:

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* 9. Was there a specific package discussed you wanted to start in?

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* 10. Please check all 'assets/platforms' you are interested in:

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* 11. Please check all markets you'd like your message to run:

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* 12. Please upload a logo

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 13. What URL should we direct to?

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* 14. Does your company have a SLUG LINE (slogan)?
[if, yes - what is it?]

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* 15. Please let us know what a GREAT outcome is for you from marketing/advertising with us?
[ie... new customers? more people to site/store/calls? branding?]

Before we let you go, IF there is a 501-c-3 tax deductible interest in donating to Payton's Promise, this is that link: www.paytonspromise.org/business

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