Special Event Poster Request Form

1
Pick the Closest Description Type of Event You are Promoting/Advertising.
Conference
Expo
Private Event
Corporate Meet & Greet
Band at a Bar
Band at a Theatre/Music Hall
Show at a Bar
Show at a Theatre/Music Hall
Hotel Experience
Real Estate Open House
Hiring Event
Non-Profit
Other
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2
If Other, What Type of Event Are You Promoting/Hosting
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3
What is the Name of Your Event?Please provide us with the name of your event.
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4
Promoter/Manager Contact Name* This field is required
First Name
Last Name
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5
Billing/Shipping Address For Promoter/Manager Contact* This field is required
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Contact Phone Number* This field is required
Area Code
Phone Number
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7
Contact E-mail* This field is required
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8
Promoter/Manager & Event Associated Logo(s)Please provide any logos that need to appear associated with the event or the managers/sponsors here.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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9
Special Event ThemePlease provide the theme of your event if there is one.
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10
Tell Us About the EventFrom colors to key words, give us some details on the direction your contest is heading.
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11
Are there Any Headline Names That Need to Appear?Please provide the name of emcees, hosts, headlining guests, special speakers with a comma between each name.
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12
Headline PhotoPlease provide an approved image of the Headline Names provided above, with name of the individual on the file.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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13
Are There Additional Names You Wish to Provide?Please provide the name of emcees, hosts, headlining guests, special speakers with a comma between each name.
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14
Additional PhotosPlease provide an approved image of the Headline Names provided above, with name of the individual on the file.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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15
Venue Name* This field is required
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16
Address of Venue* This field is required
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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17
Venue LogoPlease provide the logo for the venue hosting the event.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
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18
Event Start Date* This field is required
Date
Year
Month
Day
Date
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19
Event End Date
Date
Year
Month
Day
Date
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20
Start Time* This field is required
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
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21
If Multi-Day Event, please share more.Please Provide us the date and start/end times here. EX: 12/30/17 - 6pm-9pm. 12/31/17 9am-6pm etc.
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22
Is There A Cover Charge?* This field is requiredPlease enter the amount in US Dollars
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23
What is the Online Link for More Details or Making Reservations?* This field is required
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24
Will You Want Poster Prints?* This field is required(additional cost applies)
Yes
No
Undecided
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25
Will You Want Apparel?* This field is requiredTee Shirts. Hoodies, Tank Tops with a piece of the poster design on the product. (additional cost applies)
Yes
No
Undecided
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26
Will You Want A Snapchat Filter?* This field is requiredWould you like a filter for an enhanced audience experience that matches your poster? (additonal cost applies)
Yes
No
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27
Due Date* This field is requiredWhen do you expect the poster to be delivered to you? If less than 2 weeks from request date a rush fee may apply.
Date
Year
Month
Day
Date
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28
Provide Us With Any Other Pertinent Details
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29
Please Rate this Process* This field is requiredHow easy was this process in helping to provide all the pertinent information for your upcoming event?
1
2
3
4
5
Not Very Helpful.
This Was Awesome!
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30
Acknowledgement* This field is requiredYou understand that the information provided will be used to create a poster for an upcoming preliminary and that all artwork and imagery provided may be retained for future use by Deejers Design. Furthermore you accept that any liabilities for infringements fall on to the promoter/contact provided above. Deejers Design reserves the right to request a deposit/down payment, which will be clearly communicated prior to the beginning of any work. If you have additional questions, those may be directed to deejersdesign@gmail.com prior to completion of this form.
I agree
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