Intake Form

Intake Form

Please take a moment to fill this form in so we can prepare to chat with you.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Campaign Address (If Applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
When considering a consulting group, what services were you interested hiring for:

Overall strategy servicesSocial Media Full MgmtSocial Media Ad BuyingMessagingDesignAccountingWebsite Creation & MgmtEventsData AnalysisTextingOpposition ResearchOrganization Build OutAd / Video CreationPollingFull Campaign Mgmt.Image ConsultingMedia BuyingOnline Reputation Mgmt.Event Mgmt.Email List & StrategyCalendar & Timeline MgmtGraphic DesignBrand Creating & BrandingPhotography
Which of the follow have you already completed:

Created a LogoDeployed a WebsiteDesigned a BrochurceHired Any StaffPrinted SignsCreated Social Media PagesHave Political Posting Auth. from FBHave Professional PhotosFiled C-1 (Treasurer Appt Form)Held EventsRaised MoneyReview Voter DemographicsRecieved Endorsements
Please Upload Logo Here:

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Please Upload Photos you have or would like to use: (Headshots, family, action shots, working shots, talking shots)

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What Is Your Website URL:
EIN:
If you have an EIN please share here
Facebook URL: If Applicable
Instagram URL : If Applicable
~ How Much Have You Raised So Far:
Fundraising Goal:
How Many Opponents Do You Currently Have:
Opponents Names
TALKING POINTS

Please share some of your top issues and reasons for running.
Talking Point #1
Talking Point #2
Talking Point #3
Talking Point #4
Anything else you would like to share?
Should be Empty:

Intake Form

TALKING POINTS