Surge Article Request Form

Surge Article Request
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Business/Company's Name
Provide a 500 words or less description of you, brand and or business.
Additional Information:
Provide up to 3 photos of your brand, yourself, company logo, or; event/conference photos to add to the feature. Be sure to add the proper photo credits per image uploaded.
Image 1
Photo credit
Image 2
Photo credit
Image 3
Photo credit
By submitting this form, you agree that:
- The Surge Magazine may publish your feature if it’s approved.
- All details you’ve provided are true and accurate to the best of your knowledge.
- You have permission to use, or you own the rights to, all photos and materials you’ve submitted.
- Thank you for sharing your story with us — we can’t wait to feature amazing voices like yours!
Should be Empty: