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Marketing request for:(Required)

New Start-Up Program

Existing Program / Department

Fundraiser Set-up

Materials for Conference / Community / Open House / Job Fair

NEW START-UP PROGRAM

Please complete the form below to initiate your request for marketing support.

What is your start date?

MM slash DD slash YYYY

Program Name:(Required)

Service(s) Provided:(Required)

Program Address:(Required)

Street Address Address Line 2 City State ZIP Code

If more than one location, please enter main office location above and add your other sites in the text box provided.

Does your region have more than one office location?(Required)

Yes

Additional Office Locations:(Required)

Please provide all additional sites in this text box.

Program Office Main Phone:

Counties served:(Required)

Training Credentials Offered: (Mostly applicable to Workforce)

Point of Contact (POC)(Required)

First Last

(POC) Title

(POC) Phone(Required)

(POC) Email(Required)

Do you need signage artwork created for your facility / office?

Please indicate type of signage and dimensions. Example: Marquee sign, Roadside Sign, Door Entrance Decal, Window Screen Decals, etc.

Will your program require social media account(s)?

Facebook

Instagram

LinkenIn

Other

Check all which you want created? Note: These are managed by your program.

Which other social media account(s)?(Required)

Will your program need marketing materials produced?

Recruiting flyer / brochure

Program factsheet

Recruiting floor display / tablecloth

Other marketing marterials

Provide a brief description of what other marketing materials you need?(Required)

EXISTING PROGRAM / DEPARTMENT

Please complete the form below to initiate your request for marketing support.

Program Name:(Required)

Point of Contact (POC)(Required)

First Last

Phone(Required)

Email(Required)

What marketing support is needed?(Required)

Website Updates

Factsheet / flyer / brochure updates

Need new marketing / recruiting brochure / flyer

Need to order floor display and/or tablecloth for my program

Need a new social media account set-up

Other request

Brief description new marketing materials needed.(Required)

Upload up to three files related to your project.

Drop files here or

Max. file size: 10 MB, Max. files: 3.

May include content, pictures, logo or marked up collateral that needs updating. Need to send more than three or have an issues attaching, email files to marketing@eckerd.org.

Do you need us to provide collateral bulk printing?(Required)

Yes

Outside vendor printer.

Quantity(Required)

Increments of 500 (ex. 500 / 1000 / 1500 / 2000 etc.)

How many display or tablecloth needed?(Required)

Program's General Ledger (GL) Code(Required)

Use for printing cost (if applicable) and/or shipping delivery cost.

Shipping Address(Required)

Street Address Address Line 2 City State ZIP Code

Please provide address where you want your order to be shipped to.

Which social media accounts are needed?(Required)

Facebook

Instagram

Other

Please check all that applies. Note: The accounts are managed by programs.

Which other social media account(s)?(Required)

FUNDRAISER SET-UP

Program / Department Name:(Required)

Point of Contact (POC)(Required)

First Last

POC Phone(Required)

POC Email(Required)

Have you completed the Fundraiser Analysis Form?(Required)

Yes

Form can be found on our intranet, under the External Relations tab.

Upload Fundraiser Analysis(Required)

Max. file size: 5 MB.

Upload completed fundraiser analysis or email to: marketing@eckerd.org

What type of fundraiser?(Required)

Gala Event

Sport Event

Online Drive

Appeal

Other

Describe what type of other fundraiser?(Required)

What is your target promotional date?

MM slash DD slash YYYY

This is the date you want to launch your campaign to promote your fundraiser.

Besides what you marked on the fundraiser analysis, do you need anything else?(Required)

Yes

Brief description of other needs(Required)

MATERIALS FOR CONFERENCE / COMMUNITY / OPEN HOUSE / JOB FAIR

All marketing materials request requires a two-weeks turnaround for fulfillment and delivery via ground. Additional rush charges may apply if needed sooner.

Program / Department Name(Required)

Point of Contact (POC)(Required)

First Last

POC Phone(Required)

POC Email(Required)

Type of event?(Required)

Conference (As a Sponsor or Exhibitor)

Community / Job Fair

Open House / Ribbon Cutting

Event Start / End Date(Required)

Expected Attendance(Required)

How many people expected.

What materials do you need for your event?(Required)

Borrow display(s)

Borrow tablecloth(s)

Need factsheet(s) updated

Need promo items to handout

Need AD artwork created

Need conference sponsor / exhibit support

Other support

Which display / tablecloth brand(s)?(Required)

Eckerd Connects - Floor Display

Eckerd Connect - Tablecloth

Eckerd Connect | Workforce Development - Floor Display

Eckerd Connect | Workforce Development - Tablecloth

Eckerd Connects | Paxen - Floor Display

Eckerd Connects | Paxen -Tablecloth

Promo items available:(Required)

Stylus Pens

Post-it Booklets

Mobile Wallet Stand

Flexible Frisbee

Quantity needed?(Required)

Program General Ledge (GL) Code:(Required)

All shipping cost are charged back to programs.

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Describe Project Scope of Work(Required)

Please provide factsheet changes, AD specifications, Conference sponsor/exhibitor needs or any other request in this area. You may also submit changes by uploading file(s) below or email to them to marketing@eckerd.org.

File Upload

Drop files here or

Max. file size: 5 MB, Max. files: 3.

If you have any additional instructions, please insert them in comment box below, otherwise please proceed to submit button to finalize request.

Comment / Instruction:

Marketing | Initial Request Form

Marketing Form | Initial Request

NEW START-UP PROGRAM

EXISTING PROGRAM / DEPARTMENT

FUNDRAISER SET-UP

MATERIALS FOR CONFERENCE / COMMUNITY / OPEN HOUSE / JOB FAIR