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MetroReach Media Campaign Intake Form

Welcome to MetroReach Media! Please complete this short form to help us design and deliver your next powerful direct mail campaign. This information ensures we create the most effective, high-ROI ad possible for your business.


What's your email?

What's your full name?

Business Name

Business Address

City, State, Zip

Business Phone Number

Business Website or Social Media Link

What does your company do? What services or products do you sell? Please give as many details as possible.

What is your Company Tagline?

What is your primary goal for this campaign?

What is your primary goal for this campaign?
A
B
C
D
E

How soon would you like to launch your campaign?

Are you currently running any marketing or advertising

If yes, what type of marketing are you currently doing?

If yes, what type of marketing are you currently doing?

How would you rate the success of your current marketing efforts?

How would you rate the success of your current marketing efforts?

What is your average monthly marketing budget?

What is your average monthly marketing budget?

Preferred Mailer Size?

Preferred Mailer Size?
A
B
C

Target Area or ZIP Codes

Any other comments and/or questions? Add below.

Do you have an existing logo or brand design?

Do you have an existing logo or brand design?
A
B

Would you like MetroReach Media to create your ad design?

Would you like MetroReach Media to create your ad design?
A
B

Upload your logo, artwork, or photos (if available)

Describe your main offer or promotion for this campaign:

Preferred Call-to-Action (CTA)

Preferred Call-to-Action (CTA)
A
B
C
D
E
F

Who is your ideal customer?

What sets your business apart from competitors?

Do you have seasonal offers or time-sensitive promotions?

Do you have seasonal offers or time-sensitive promotions?
A
B

If, yes, when?

Would you like to be featured in future mailer campaigns?

Would you like to be featured in future mailer campaigns?
A
B

I authorize MetroReach Media to use my business name, logo, and artwork for the purpose of advertising.

I authorize MetroReach Media to use my business name, logo, and artwork for the purpose of advertising.
A

Would you like a free consultation before your campaign launches?

Would you like a free consultation before your campaign launches?
A
B

Name, Email, and Phone Number of Person or Business who Referred you?

Thank You!