Event Request Form
First Name
*
Email
*
example@example.com
Due Date for Draft
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Due Date for Final
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please note, the team will evaluate dates and depending on the current workload/schedule. Certain exceptions will be made for rush projects. Please allow additional time if final copy isn’t provided and/or approved by compliance.
Brand
*
Messer ACA
Messer MA
Messer Group Division
Messer P&C
HP Freedom
Capstone ID Theft Protection
Capstone Health Network
Benchmark
E&O Depot
Other
Audience
*
Messer Agents
Messer Agent TOH (for DNCs) and Downlines
Non-Messer Agents
Client-Facing
General Public
Carriers/Carrier Reps
Internal Use
All-In, TPS, & CC Agents
Other
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Next
Save
Description
*
In person or virtual?
*
In Person
Virtual
Address
*
Platform:
*
Name of Event
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Registration Deadline
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Url or Steps for Joining
*
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Specific database/list if known:
Creative Content Needed
*
Email
Flyer
Social Media
Printed Material
Media Release
Landing Page
Other
We need:
Photography
Videography
Other
Landing Page Due Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Due Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Social Media Due Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please provide a sample CTA (Call to Action)
*
To register to attend, please call:
Please enter a valid phone number.
Format: (000) 000-0000.
and/or email at:
example@example.com
Contact Information
Who is responsible for final approval if not you?
Logo Included?
Yes
No
Please upload a high resolution PNG, PSD, JPG, TIF, SVG, or EPS file
*
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