Client Request Form
After you fill out this request form, we will contact you to go over details and availability before your account request is completed.
For further information please email :
Are you a new or existing customer?
I am a new customer
I am an existing customer
Full Name ( on Identification Document )
Permissions ( Kindly click last option to agree to all )
Kindly manage my digital advertising on specified platforms as agreed.
All payments are made via mobile or online platform and are accounted for every forty five (45) days via email invoices.
All performance reports are delivered every thirty ( 30 ) days to my email address as listed.
All digital advertising will be booked through Authentic Thought and/or it's authorized agents.
The validity of this document is limited only to agreed products and is not considered a contract of employment.
I agree to the terms and conditions as already explained to me and signify acceptance and signature to the same.
What product(s) would you like to order?
Digital Advertising Account ( Google, Facebook and YouTube advertising management )
Event Management Account ( Sponsorships and Event concepts )
Brand Management Account ( Digital Branding and Enhancement )
Personal Brand Account ( Personal Brand Development and Strategy )
Product Management Period
Kindly check the period of validity for your product management contract
Contact methods ( Kindly check to agree )
Phone - Our representatives will contact you on phone for specific instructions and/or updates.
Email - Our representatives will use email for your general account updates, reports and billing receipts.
Questions and comments
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