Get Cited Intake Form
We cannot start on your media citing until we have this form completed and submitted to us. Thank you for taking the time to answer these questions.
Contact Person
First Name
Last Name
Business Name or Career Title (Joe's Insurance, Actor, etc.)
Email (The one used to create Get Cited account)
example@example.com
Website
Address (*city and state needed for press release)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Please tell us about your business/mission/purpose/career?
*Choose one: Please share anything that's significant or newsworthy from the last 6 to 12 months. Examples: New event. New branding/image. New webinar/seminar, blog, report or eBook. Business/work anniversary. Major milestone or accomplishment. New location. New award or citation. Special offer/pricing. New product, feature or service. Charitable contribution. New hours of operation. Business expansion. New website/Youtube channel or social media expansion. Wrote/published book. A strategic alliance. Survey results/statistics/research to share. Landed a role/publishing deal or record deal. Booked speaking engagement. Client success story/customer wins. Launch of startup/funding for idea. Tie business to current events. Partnership or acquisition. Invention or creation. New menu/chef. New process/procedure.
Share a paragraph (in your own words) regarding something about your business, vision, mission, results, training or coaching, or pertaining to the accomplishment you shared in the question directly before this one.
Please share a client, associate, employee or other relevant testimonial about the topic chosen.
Tell us about your business: Example: The ABC Agency is a completely independent insurance agency specializing in Health, Life Insurance and Medicare. Their clients are located all across the USA, giving them priceless knowledge regarding the wellness demographic they cater to.They offer plans with a focus on value, aimed at helping clients make better informed decisions regarding their insurance options.
Please upload your hi-resolution profile photo here (Premium members only) 500 x 500 size or larger preferred.
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Which of the following do you have?
LinkedIn
Facebook (career specific page, not personal)
Twitter
Instagram
Other
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