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Apply to Work With Urban Media

Your full name

Email address

Brand / clinic name

Instagram handle

Where are you based? (New York / Miami / Texas/ Dubai / Other)

Describe your brand in 2–3 sentences. What do you do, who do you serve, and what makes you the best at it?

Monthly revenue range

Monthly revenue range
A
B
C
D
E
F

Current Instagram follower count

Current Instagram follower count
A
B
C
D
E

How would you describe your current content?

Have you worked with a social media agency before?

Have you worked with a social media agency before?
A
B
C

What does success look like for you in 12 months?

What's the biggest thing holding you back right now?

Urban Media retainers start at $3,500/month on a 6-month minimum. One time projects start at $3,200. Are you in a position to invest at this level?

Urban Media retainers start at $3,500/month on a 6-month minimum. One time projects start at $3,200. Are you in a position to invest at this level?

What's your ideal start timeline?

What's your ideal start timeline?

Which service are you most interested in?

Which service are you most interested in?

How did you find Urban Media?

How did you find Urban Media?

Anything else you want us to know? (Optional)