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Email Campaign Number of Emails in Your List* Select one Less than 500 More than 500, but less than 1000 More than 1000, but less than 5000 5000 to 10,000 not sure In order to generate a list we need the email information in a particular format. We can send you the form with simple instructions. The form requires a first and last name plus the email address. Please remember only to provide emails from individuals who have provided you with their information. This is an opt-in email program. Please Send Me Form Email Campaign Type* Choose email list type Business to Business Consumer Professional Small Business Other* *Explain "Other" if chosen above Product or Service to be promoted* Details of Product or Service How often do you plan to have emails sent?* Select one Monthly Bi-Monthly Weekly Bi-Weekly Not Sure Are there specific logos, graphics, etc. you wish to use in your email campaigns? If so please describe in the box provided. You may also upload any text, graphic or photo you wish to be included. Remember all materials you supply must be copyright free or you can establish ownership for. Description of Email Contents Attachment Photo Image Sample File Name* Phone* Email* Confirm Email*

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