Customer Kickoff Form

Company Name *

(Please just make sure it's spelled correctly for graphics)

Point of Contact *

First

Last

Email *

Bill Address *

Address Line 1

Address Line 2

City

State

Zip Code

Marketing Info

Company Website *

Company LinkedIN & Twitter Handles *

Feel free to drop Links or Usernames.

Marketing Phrase or Tag Line(s) *

We will use this during social media promotions

Other Social Media Platforms

(Instagram, Tiktok, Facebook, MySpace... just kidding on MySpace)

List any #HashTags for the company/product for social posts

Who are some of your competitors?

Upload Company Logo (only jpg, jpeg, png files allowed) *

Click or drag files to this area to upload. You can upload up to 2 files.

White / Black Logos for different backgrounds

Top 3 Takeaways from Recording *

Name three things the audience should remember as they leave this podcast. Action items. Principles. Design recommendations.

Additional Information you think the host should know

Media Release

I acknowledge that this consent to use images and/or recordings is being made solely for the benefit of the organization and comes without any expectation of monetary compensation or other benefit to me.

I agree to receive emails from the event hosts and I understand that I can opt-out at any time.
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