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* Indicates required question
1. Full name
*
Your answer
2. Company name
*
Your answer
3. Company address
*
Your answer
4. Company phone number
*
Your answer
5. Company size
*
1-10
11-20
> 20
6. Type of work you are doing
*
Radon inspection
Radon mitigation
Both
Other:
7. Contact person's name and title.
*
Your answer
8. Contact person's email address
*
Your answer
9. Contact person's phone number
Your answer
10. Campaign title for the portal card (23 characters include spacing, see image below)
*
Your answer
11. Campaign description for the portal card (47 characters include spacing, see image below)
*
Your answer
12. Campaign image for the portal card (240 x 240px, see image below) *Please send an email with an image attached. (
jyoon@ecosense.io
)
Your answer
13. Campaign destination URL for the portal card
*
Your answer
14. Enter the state you want the campaign to be exposed to
*
Your answer
15. Choose the distance you want your campaign to expose from your location
*
200mile range from your location
300mile range from your location
All areas of the selected state, regardless of distance range
Other:
16. Choose the radon level of the users you want to expose your campaign to
*
Always (Regardless of radon level)
> 2 pCi/L (10 minutes updates)
> 4 pCi/L (10 minutes updates)
Other:
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