Email Marketing Campaign (EMC)Appleton Greene

Service Order Form

    Personal Details

    Full name *

    Primary email address (one only please) *

    Backup email address (one only please) *

    Web site address *

    Mailing address *

    Country of residence *

    Telephone number *

    Is this Email Marketing Campaign (EMC) intended for your Accredited Consultant Service (ACS) or your Certified Learning Provider (CLP) program? *

    Campaign Details

    Campaign Information

    Date Please insert the date of your application (Please enter today's date) *

    Industry sectors (Please list 5 only please in order of preference) (Options available: Accountancy; Advertising; Aerospace; Agriculture; Automotive; Aviation; Banking & Financial Services; Biotechnology; Chemicals; Construction; Consultancy; Consumer Goods; Defense; Digital; Education; Electronics; Energy; Entertainment; Fast Moving Consumer Goods; Food & Beverage; Franchise; Government; Healthcare; Hypermarkets & Supermarkets; Insurance; Internet; Logistics; Manufacturing; Media & Marketing; Mining; Non-Profit & Charities; Oil & Gas; Real Estate; Restaurants; Retail; Technology; Telecommunications; Transport; Travel & Tourism; Utilities) *

    Locations (Please list a maximum of 5 cities and corresponding countries in order of preference) (Please consider the cities where your clients are likely to be located) *

    Minimum Sales Please enter your preferred minimum client company annual sales in US Dollars *

    Maximum Sales Please enter your preferred maximum client company annual sales in US Dollars *

    Minimum Employees Please enter your preferred minimum client company number of employees *

    Maximum Employees Please enter your preferred maximum client company number of employees *

    Client Information Guide (CIG) or Client Information Hub (CIH) When do you plan to complete your Client Information Guide (CIG) or Client Information Hub (CIH)? (Please enter Month and Year) *

    Proposed Start Date When would you ideally want your 12 month Email Marketing Campaign (EMC) to start? (Please enter either January, April, July, or October, followed by the Year.) *

    Declaration

    Please simply answer YES to the following questions unless otherwise stated:

    I understand that this is a Service Order Form for the Email Marketing Campaign (EMC) service and that the campaign positions requested will be subject to ongoing availability. Please insert YES. *

    I would like to order the Appleton Greene Email Marketing Campaign (EMC) service and I understand that the fee for this service amounts to USD$2,000.00 and that the 10,000 business contacts will be exclusive to me and my own Unique Consulting Service Proposition (UCSP) or Unique Program Proposition (UPP) and that these contacts will not be shared with any other Accredited Consultants or Learning Providers. Please insert YES. *

    I confirm that I have the funds available and that I will make arrangements to pay the appropriate service fee by international bank wire transfer within 7 business days of receiving an invoice from Appleton Greene. Please insert YES. *

    I confirm that I have read and understood Appleton Greene's terms and conditions of service. Please insert YES. *

    I understand that by completing this service order form I am consenting to be bound by Appleton Greene & Co's terms and conditions of service. Please insert YES. *

    Terms and Conditions

    Please click on the link below to review our terms and conditions of service.

    Appleton Greene terms and conditions of service.

    To submit this service order form, please confirm that you accept Appleton Greene's terms and conditions of service by ticking the appropriate box below.

    I accept Appleton Greene's terms and conditions