EmailMe Form - PR / Product Review Contact Form

PR / Product Review Contact Form
TERMS:
1. Sponsor will send full-size sample(s) of product for review; review products are non-returnable.
2. Sponsors understand that accepting a product for review places me under no obligation to your company.
3. Shipping and handling of review and giveaway product will be fulfilled by the sponsor.
4. I reserve the right to decline to review a product if, upon receiving product, we feel it will not offer our readers a quality experience. Declined items will be donated.

I/my company agree to the above-mentioned terms. *

Yes

Company Name *

Contact Name *

Contact Email *

Name / Description of Product to be Reviewed *

I am interested in offering the following for giveaway: *

Same product as reviewed

Gift Card

I am interested in a review only

If you are offering a giveaway, where are you willing to ship the product? (Check all that apply)

Canada

Worldwide

Your Website URL *

Twitter URL (if available)

Facebook URL (if available)

If you are offering any discount codes / free shipping to my readers, please let me know what code to use below:

If available, please upload a company logo here:

It is helpful if logos are the square or "button" size, although not necessary.

If available, please upload a product picture or info sheet here:

May I share your contact information with other bloggers who might be interested in partnering with your company?

Yes

Thank you for partnering with our blog! I look foward to working with you!
Julie Kieras @ A Year With Mom and Dad

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