Email & Newsletter Intake Form

Email & Newsletter Intake Form

The Nerdy Quill
Hi! Welcome to my intake form!

This form will give me an initial peek at your business and Newsletter or Automation needs. It should only take about 3-5 minutes to fill out, and will allow us to jump right into the good stuff during our consultation!
Name*

First NameLast Name
Business Name
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Business Type (Product or Service Based)*
Website
Instagram
Facebook

Tell me about your business!

I Want To Hear All About It!
Describe Your Business In 2 Words (i.e. Sexy & Sleek or Delightful & Happy)*
What Does Your Business Consist Of? (i.e. I sell stickers or I am a Tattoo Artist)*
Do You Have A Specific Product/Service That You Would Like To Highlight?*
What Is The Most Important Thing For Your Audience To Know About Your Business?*
Do You Already Have Branding In Place?*

This Page Is For Newsletter Services!

Do you have your Newsletters handled? No problem; Just hit the button to go to the next page!
How Often Are You Wanting To Send Out Emails?
Are You Able To Provide Topics For Me To Write About?
Do You Create Content (Such As A Podcast or Blog) That You Would Like To Use As Newsletter Content As Well?
Are You Interested In Using Your Newsletters For Content Repurposing? (Creating addtional content, like Social Media posts, from your Newsletter content.)

This page is for Automation Services!

If automation ain't your thang right now, just hit the button to skip to the next page!
[For Automations] Do you already have a Lead Magnet?
[For Automations] If so, tell me about it! (I want ALL the juicy details!)
How many emails are you thinking to automate? (I.e. Full Welcome sequence (4-6), just the inital Lead Magnet, etc)

What's Next?

Almost Done!
- Once you hit "You Made It!", you will be contacted by email within 24 hours. Within that email, there will be a link to set up your 30-minute consultation with me, so we can further discuss how I can help you!
- My office hours are Wednesday - Sunday; 9-6, excluding all Canadian Holidays
- All emails are returned within 24 hours.
I look forward to chatting with you soon!
Please verify that you are human*
Should be Empty:

Tell me about your business!