LumiCharge II Campaign Submission Form
Thanks for your interest in our YouTube campaign for the LumiCharge II - a space-saving, decluttering, wireless charging, beautifully-designed, smart LED lamp.

For more information about the product, go to...

https://thelumicharge.com/collections/home-page/products/lumicharge-ii-prelaunch

LumiCharge will consider compensation requests so please try and include as much detail as possible in the appropriate place in the form below if you are requesting compensation. All participants will be able to keep the product.

Please note, filling out this form does not guarantee you will be selected for this campaign, but we promise to let you know either way.

Unless you expressly answer "I don't agree" in the last question, submission of this form binds you to the answers you've provided if you are selected to participate.

If you are selected, you will receive a Campaign Brief with a summary of your answers from this form and additional information about the campaign.

If you have any questions, please email barry@techfluence.us and thanks again for allowing us to send these opportunities to you.

Best
Barry
Sign in to Google to save your progress. Learn more
Email *
1. Please provide your first and last name. *
2. If you are filling out this form after being selected to participate, please provide your shipping address AND phone number.
Phone numbers are often required for shipping.
3. Please provide the name of your YouTube channel name. *
YOU MAY SKIP THIS QUESTION IF YOU HAVE PREVIOUSLY FILLED OUT THIS FORM FOR A DIFFERENT TECHFLUENCE CAMPAIGN AND THE INFO HAS NOT CHANGED.
4. Please provide a link to your YouTube channel. *
5. Please select the types of content you are potentially able to produce for this campaign. (Optional - Check All That Apply)
6. Use the space below if you would like to provide additional details about the video you envision for this campaign. (Optional)
7. If you're located outside the US and Canada, please tell us approximately what percentage of your views come from the US.
8. Will you be promoting your content on social media?
Clear selection
9. If you answered yes to Q.7, please provide links to the social profiles where you will be promoting your video.
YOU MAY SKIP THIS QUESTION IF YOU HAVE PREVIOUSLY FILLED OUT THIS FORM FOR A DIFFERENT TECHFLUENCE CAMPAIGN AND THE INFO HAS NOT CHANGED.
10. If you are planning on posting your video outside of YouTube or creating additional content for a blog or other site, please provide a link to the site where it will be posted.
YOU MAY SKIP THIS QUESTION IF YOU HAVE PREVIOUSLY FILLED OUT THIS FORM FOR A DIFFERENT TECHFLUENCE CAMPAIGN AND THE INFO HAS NOT CHANGED.
11. Would you like to request compensation for this campaign separate from keeping the product?
Feel free to submit a Media Kit or Rate Card for us to keep on file to barry@techfluence.us at any time. Compensation of any type must be disclosed in your video and/or video description.
Clear selection
12. If you are requesting monetary compensation, please use the space below to provide pricing for specific types of content. (Optional)
NOTE - Including this info here is optional, but any guidance you can provide would be helpful.
13. If you are compensated for this campaign, including but not limited to keeping the product, do you agree to disclose this in your video and/or in the description that accompanies it?
Your Campaign Brief will include information about various types of disclosures that satisfy this requirement.
Clear selection
14. Are you interested in an affiliate marketing program where you can earn revenue if a link provided by LumiCharge for your video description is used to make a purchase?
Clear selection
15. Are you interested in running a giveaway to help promote your video? *
All giveaways are now being run by us. You will be provided a link to a landing page for the giveaway for your description.
16. Do you agree to allow LumiCharge to review your video prior to posting? You retain the right to publish the video after it's reviewed regardless. *
NOTE - The purpose of this is to give the client the chance to address any issues in the performance of the product that may be the result bugs or incorrect setup and/or use.
17. Do you agree to provide certain key metrics from YouTube Analytics four weeks after posting your video? *
Metrics we are interested in receiving include Average View Duration, Total Time Watched, Average Percentage Watched as well some key demographics such as gender distribution, age distribution, device viewed on, location, etc. These can generally be captured as screenshots and sent to us.
18. Do you agree to allow getgeeked Media / Techfluence and our client the right to promote and share your video? You maintain all legal rights to your video. Please check all that apply. *
Required
19. For this program, videos should be completed prior to the holidays. Do you agree to this timeline assuming the product is shipped to you at least two weeks prior? *
20. If there are any other LumiCharge products you are interested in creating content for, please list them below.
Visit https://thelumicharge.com to see all their products.
Use the space below to share any additional information you would like us to have.
NOTE - If you have questions, please send them via email to barry@techfluence@getgeeked.us
If you are selected for this campaign or have been already, submission of this form obligates you to participate pursuant to your answers in this form understanding that compensation, if any, may not be finalized until after you submit this form. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Slingshot Events LLC. Report Abuse
Google Forms