Name *

First Name

Last Name

Contact Number *

(###)

###

####

Have you worked with a PR agency before? *

Yes

No

Have you previously activated any Creative Communications/Social Media/PR campaigns in the past? *

Yes

No

Are you looking at a project-basis engagement (3-6 months) or are you looking for a retainer (12 months) engagement? *

Project-basis (3-6 months)

Retainer (12 months)

Would like both as options

Is this a pitch? *

Yes

No

Do you currently have an active partnership/influencer engagement program? *

Yes

No*

*If not, is this something you'd be interested to explore?

Yes

No

Are you currently looking for an agency for content creation? EG: Video production, photography, podcasts, virtual events, social media posts, etc. *

Yes

No

How did you find out about Mad Hat *

Google is my best friend

Via social media (FB, LinkedIn, Instagram)

Referend by a friend*

Others*