*First Name: *Last Name:
Address: Suite:
City: State: Zip:
*Phone: Fax: *Email:
Quantity: Please Select One Below! 1 thru 25,000 pcs. = $300.00 25,001 thru 50,000 pcs. = $400.00 50001 thru 100,000 pcs. - $500.00 Other Other:
Start Date
Additional Weeks: 2 week campaign included Up to 4 Weeks Add $75.00 Up to 6 Weeks Add $150.00 Up to 8 Weeks Add $225.00 Up to 10 Weeks Add $300.00 Up to 12 Weeks Add $375.00 Other Other: End Date: Our Online Purl Campaign runs for a two week period. The campaign can be managed for longer. To reserve a longer campaign select time duration upgrade above.
Upload Image: must be 700 x 700px. And must be under 1MB Custom Background:
Manufacturer: Please choose one ACURA AUDI BMW BUICK CADILLAC CHEVROLET CHRYSLER DODGE FORD HONDA HYUNDAI INFINITI JAGUAR KIA LEXUS LINCOLN MAZDA MERCEDES-BENZ USA MERCURY MITSUBISHI NISSAN OLDSMOBILE PONTIAC PORSCHE SAAB SATURN SUBARU SUZUKI TOYOTA VOLKSWAGEN VOLVO OTHER Other: View Manufacturers Logo's Here!
Upload a Logo, Slogan, Coupon, etc. Images should be 256x256 pixels, include transparency, and be supplied in a PNG or Gif format. Upload a Logo below, click browse. All logo images must have a transparent background.
Upload a Slogan image below, click browse. All images must have a transparent background.
Upload a Coupon below, click browse. All images must have a transparent background.
Select up to 6 Images from your direct mail piece.
Upload a PDF Soft Proof of Mail piece with markups for images to use in the purl campaign.
Premium Options: Select one Yes No Giveaway OTHER Other:
To Upload a photo of Premiums or Giveaway image below, click browse. All prize images must have a transparent background.
Type your Greeting/Pitch/Hook Content for Landing Page Below Example Here!
Type up to 6 Questions for survey form Below Separate Questions by pushing Enter on your keyboard. Example Here!
Number of Questions : Select # of Questions 1 2 3 4 5 6 OTHER Other:
Type Confirmation Content for Thank You Page Below
Manager Lead Auto-Reply Example Here! (This info is used to send the emails to your Clients)
Purl Lead Emailed to General Manager/Lead Managers Example Here!
Confirmation Email sent to Responder when LP is submitted Example Here!
Please Click Browse Button to find Disclaimer on your Local Computer. Upload Map or multiple files zipped together
Create 1 Client Backend User Account per Campaign Example Here!
To View stats manager tools create an account for your clients to login. Example Here! http://purls.tv/p/personalized/
Word Verification Please
Thank You for your Business
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