My Publicist Client Prospectus Form1
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Please allow us to get to know you.
The more we know about you, the better we can represent and serve you.
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PERSONAL
Required fields designated by an asterisk*
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| Legal Name
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| Prefix
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| First
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| Last
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| Suffix
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| Product/Performance/Stage Name
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List all name you have been known as.
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| Date of Birth
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| Mailing Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Postal / Zip Code
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| Country
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| Phone
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| Office/Other Phone
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| Website
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| Email
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| Do you have a Brand or Public identity?
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Company logo Slogan Marketing Materials Media Kit All None
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| File Upload : Attach your publicity photo or graphic
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Please upload your Publicity Photo or you Publicity work here. Photos, Tracks, Press Kit etc...
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| Social Networks
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Facebook Twitter Linkedin Instagram YouTube Tumblr Pinterest ReverbNation SoundCloud Google Music My Space NONE Other Click all that apply
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BUSINESS INFO.
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| Business Name
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| Business Classification
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Corporation Sole proprotorship Partnership LLC Other
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| Owner(s)/Partner(s)
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Separate by comma's
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| Yr. Established
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| Business Manager/Agent
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| Prefix
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| First
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| Last
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| Suffix
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| Manager/Agent's Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Postal / Zip Code
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| Country
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Budget
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| What is your monthly Publicity budget ?
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| Have you received local, regional or national notoriety?
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Local Regional National
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| How have you been reaching your customers or targeted audience?
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Social Networking Print Advertising Radio/TV Advertising Mailings Word-of-Mouth www Other None
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| File Upload
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Please upload any LOGO or file media here
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Briefly tell us about your Product, Service or Brand.
Then, Briefly describe your greatest promotional challenges.
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What sets you apart? What is it that you do or have that will make the general population excited?
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| Briefly convey your short and long term goals.
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This is very important and gives us the in site in which to develop a solid road map for you.
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| Now, describe the image that you want to project for your business, product, or service?
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Be open, honest and real.
THANK YOU FOR TAKING THE TIME TO AFFORD US THIS INFORMATION!!
WE WILL CONTACT YOU SOON.
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