PR Services Application Form
Thank you for your interest in our Public Relations services. Please complete this application form to help us understand your brand, goals, and how we can best support you.
Full Name
First Name
Last Name
Email
example@example.com
Business Name
Phone Number
Please enter a valid phone number.
Website/Social Media Handle
Brand Goals
What does your brand do?
What is your target audience?
What are your PR goals?
Increase media visibility
Brand reputation management
Event publicity
Crisis communication
Thought leadership / Speaking gigs
Other
Back
Next
Have you worked with a PR agency before?
Yes
No
Do you currently have media coverage or brand partnerships?
Yes
No
Do you hav a monthly budget for PR?
Under $1000
$1,000 – $2,500
$2,500 – $5,000
$5000
When would you like to start?
-
Month
-
Day
Year
Date
What are your expectations from this PR collaboration?
How much would you measure success in this PR campaign?
Is there anything else you'd like us to know?
Upload your brand/media kit
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