Your Legal Name
*
Your Pronouns
she/her
he/him
they/them
Other
Prefer not to share
Your Birthday
*
Your Country
*
Your State
*
Your Phone Number
*
Country
(###)
###
####
Your Job Title
*
Your Company Name
*
Your Company Email
*
Best Time To Reach You
*
Your Company Instagram
Purpose For Your Inquiry
*
For lifetime value, kindly fill out one form per inquiry.
Bliss The Hair Doctor (Consulting & Postings)
Bliss Media Team (Production)
Bliss Salon Team (Corporate)
Bliss Gives Team (Corporate)
How much is the actual initial compensation offer?
*
Your Involvement
*
Approve
Authorize
Recommend
Are you the budget holder?
*
Yes
No
Please select services needed.
*
Please select all that apply
Brand Awareness Campaign
Campaign Creative Direction
Communications & Marketing Strategy
Content Strategy
Corporate Diversity and Inclusion
Corporate Diversity, Equity and Inclusion Strategy
Human Resources Consulting
Monthly Retainer (General)
Paid Social Media Campaign
Will You Provide Feedback?
*
Yes
No
Will You Provide a Usage Report?
*
Yes
No
Will You Provide a Creative Brief?
Yes
No
Do You or Your Co-workers Plan To Be On Set?
Yes
No
Project Launch
MM
DD
YYYY
Project Deadline
*
MM
DD
YYYY
Project Start
MM
DD
YYYY
Will You Send 1099/Other Tax Forms?
Yes
No
Creative Freedom
Vendor is not to deviate from client brief provided
Vendor is welcomed to use full creative freedom
Marketing Use
Please select all that apply.
Advertising - Print, Display and TV
Digital Media
Film, Video and TV Programs
Marketing and Promotional Collateral
Printed Book & E-book, All Editions
Publishing and Editorial
Retail, Product and Packaging
Duration Time
Unlimited
1 year
2 years
5 years
Other
Digital Formats
ALL RAW FILES
GIF
JPEG
MOV
MP4
PDF
PNG
TIFF
How Many Deliverables Do You Need?
Image Size and Resolution Needed
Is There A Category Exclusivity Window?
Define Scope of Work/Approval Workflow
*
What does success look like for all parties?
*
(including me and my family)
Interested In Weekly Services?
For Sure, Let's Discuss ASAP
Not Now, Let's Discuss Later
Interested In Monthly Services?
For Sure, Let's Discuss ASAP
Not Now, Let's Discuss Later
Referred By: