Name as it should appear in media information:
Email address you wish to have listed on marketing materials
Alternate E-mail address:
If desired: email address you would prefer to use for other correspondence.
Business Phone Number
Alternate Phone Number for internal use if preferred
Business name exactly how you wish it to appear in marketing materials
Information about you and your business
Brief description and or bio you would like used for marketing materials
Business logo or photo
Upload file (s)
High resolution pdf, png, jpeg, eps files preferred. Please do not put an image in a Word document as that decreases image quality and resolution. Desired resolution 2000+ pixels or 1 inch with 300 dpi resolution.
Other files you would like to send
Any other information you would like to have
Should be Empty: