Primary Contact Person *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Will you need to use our Graphic Design Services? *

Text Graphic Design Fee:

Yes, we will need help with graphic design

No, we will be uploading our own designs

Will you need Sending Services?

According to U.S. federal law, all political campaign texts must be individually sent by a human. We can provide this service for a fee of $50 per 10,000 texts, or we can set your campaign with volunteer accounts to send on your own time.

We will send our own texts

We need CS text sending services

Desired Send Date *

Please allow up to one week for legal approval time.

MM

DD

YYYY