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E-Blast Order Form

Please fill the below form out to the best of your abilities. If you have questions about anything being asked for or would like help from one of our marketing professionals, please call 248-414-6860 or click the big orange button below. If we have suggestions or questions, we will be sure to contact you before getting started.

Contact Me First

Required Info

Name of person placing this request


Email address

Phone number

Account Information

Do we currently have your E-Blast account details on file?

If you answered No, do you need us to set an account up for you?

If you have an account, please provide the name of your E-Blast provider
along with the user name and password.

E-Blast Specifics

Subject Line

Offer or Tagline

What is the special? Describe exact words to be used. Capitalization and
punctuation will be followed as directed.

Is there a call to action? If so, provide the link as well as any other links to website, social, etc.

When does this special start?

When does this special end?

What is the expiration date of said special?

Is there a limit on this offer?
(i.e. Limit one per person or per transaction, or is there a minimum order required)

If there is a limit, please describe it here.

Available at all locations?

If no, please list the locations this offer will be available at.

Can this offer be combined with other coupons/offers, etc?

Describe how is this offer will be redeemed? Coupon code on E-blast? Mention this AD?
Show this email when ordering?

Is this offer available for online ordering?

Are there any specific images PGN has that you would like us to use?
If so, please describe the image(s).

Images to add, company logo, affiliation logos, etc.
Please be sure artwork is high resolution (300 dpi) or in vector format.
If you have a specific database of names you want to add, upload contacts in Excel format.

This form has a TOTAL UPLOAD LIMIT of 8mb for file uploads.
If your files exceed that limit please use We Transfer
to send your zipped images to info@pgnagency.com

Upload Hi-res / Vector Logo - .ai, .eps, .svg, .pdf format

Upload Zipped image files

Upload contact Excel sheet

Sending Information

How many times should this E-Blast be sent out?

Date to send Blast 1

Date to send Blast 2 (optional)

Date to send Blast 3 (optional)

Date to send Blast 4 (optional)

Please list any additional direction you were not able to provide above.

Enter the code in the space provided: captcha

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