Professional Email Marketing Campaign (PEMC) Platinum Service Order Form


    The Professional Email Marketing Campaign (PEMC) service order form constitutes a contractual agreement for a period of 12 months between the client contact and company and Appleton Greene & Co Global Limited.


    Annual cost: $20,000.00
    1. 10,000 business contacts
    2. 5 emails
    3. Duration of service 3 months
    4. Campaign Performance Portal (CPP)
    5. $2 per prospect

    Please insert your answers in lower case apart from when starting sentences and proper names. Do not use upper case or capital letters where it is not appropriate to do so. Thank you for your kind interest in Appleton Greene & Co. Please note that all service orders are subject to ongoing availability.

    Your full name *

    Date of application (Day/Month/Year) *

    Your primary email address *

    Your backup email address *

    Your contact telephone number *

    Your social network profile *

    Your company or employer's name *

    Your company or employer's web site address *

    Your company or employer's mailing address *

    Your position within the company *

    Proposed service start date (Please enter either: January; April; July; October,
    followed by the year).*

    Please briefly describe the product or service that you would like to promote with this campaign. Provide a web link to any additional information that you may have. *

    Please list 5 of your preferred industry sectors, in order of preference. (Please number your industry sectors 1-5) *

    Please list 5 of your preferred geographical locations, in order of preference. (Please number your locations 1-5) *


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

    AGC Professional Email Marketing Campaign (PEMC) terms and conditions.

    To submit this application form, please confirm that you accept Appleton Greene's (PEMC) terms and conditions by ticking the appropriate box below.

    I accept Appleton Greene's (PEMC) terms and conditions