JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The i-PR Agency Client Intake
We cannot wait to learn more about you. Please complete this short intake form to schedule an introductory call with one of our publicity agents.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
I am interested in the following:
Event Production/Planning
Public Relations Services
Social Media Support
All of the above
Other:
Full Name
*
Your answer
Name of your the business/brand that requires representation
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
My website is
*
Your answer
My Facebook handle is
*
Your answer
My Instagram handle is
*
Your answer
Start Date
*
MM
/
DD
/
YYYY
Next
Page 1 of 4
Clear form
Never submit passwords through Google Forms.
This form was created inside of IndependentlyPR, LLC.
Report Abuse
Forms
