Creative Services Request & Referral Form
After you fill out the Creative Services Request™, we will contact you within 2-3 business days to go over details. If you would like faster service and/or direct information on campaign packages, offers and/or pricing, please Contact us at (587)-572-7096 between the hours of 8AM - 6PM Mountain Standard Time (MST) or Email us at any time at contact@theblockbard.com.

Thank-you, and we look forward to working with your business.

*approximate form completion time <2 min*
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Email *
What is your name? *
HOW DID YOU HEAR ABOUT THE BLOCK BARD?          If Friend or Referral, please mention their FULL NAME under other. Failure to mention the referrer by the referee will result in no bonus. *
Are you a new or existing customer? *
Are you representing your business or working on their behalf? If please employee state position/ job title under other. . . This helps us determine who we are working with. *
Are you seeking 'Direct Marketing' (e.g. selling a specific product) or 'Brand Marketing' (e.g. selling your message) *
What is your business currently generating in terms of revenue PER MONTH *
Which Services do you seek? *
Required
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Describe with as much detail, in as little words as possible, your biggest goal with this Campaign
Describe with as much detail, in as little words as possible, what your Company aims to achieve with this message. *
THIS COULD BE DIFFERENT THAN THE CAMPAIGN OBJECTIVE [e.g. Build a better reputation in this area, apologize to our audience, create suspense in our audience, et cetera...](This helps us stay on-top of your message and branding!)
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