Marketing Request Form Let’s work together. Do you know what you need or would you like Marketing's help?* I know what I need I'd like Marketing's help to develop something What do you need? (check all that apply)* Email Handout Poster Mailer Media Kit Something else EmailEmails sent by Marketing require an at-minimum 3-day lead time, with 24 hours prior to send reserved for edits/comments/questions from the Communications Management team. What is the purpose of the email? Invitation to event New employee announcement to customers Other What would you like the email to communicate?Do you have an approved message for the email content? If so, paste it here. If not, what would you like to accomplish with this email? What information would you like the reader to come away with after reading your email?Name of new employee: Employee's email address: Employee's phone number: Employee's role/job title: Please provide a short bio for the employee.Please provide a high-quality, professional photograph of employeeMax. file size: 300 MB.Would you like to send any of the following emails in addition to the invitation? Save the Date Reminder How will the email be sent?Emails sent via Mailchimp generate open and click reports; however, the email cannot contain attachments. Emails sent via Outlook can contain attachments, but open and click reports will not be generated. I will send the email from my Outlook account Someone else will send the email from their account I would like Marketing to send the email from Mailchimp Which email addresses will receive the email? I will provide my own email list I would like to use a list provided by Marketing What states will receive this communication?Hold down CTRL to select multiple.AlabamaAlaskaAmerican SamoaArizonaArkansasBVICaliforniaColoradoConnecticutCNMIDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUSVIUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWhich contacts in these states will the email be sent to? All contacts Customers only State-level contacts only Other: Other: What is the sender's name and email address? Email send date MM slash DD slash YYYY Save the Date send date MM slash DD slash YYYY Reminder send date MM slash DD slash YYYY Sender nameEmails sent through Mailchimp look like they're sent from a normal email contact. Please input the name of the person whose name you would like to appear as the sender of this email. Replies to the email campaign will be sent to this person. Sender's email addressEmails sent through Mailchimp look like they're sent from a normal email contact. Please input the email address for the person whose name you would like to appear as the sender of this email. Replies to the email campaign will be sent to this person. Do you have a preferred subject line? Yes I would like Marketing's help to create a subject line Subject line: HandoutHandouts require an at-minimum 6 day lead time, with 4 days for design and production and 2 days for shipping. Shipping costs will be charged to your department's cost center.What is the purpose of the handout? Invitation to event Promotion of ES&S products Other What would you like the handout to say about the products?Secure, auditable, easy-to-use, accessible, newly-certified? What features or benefits of the product do you want to promote? Do you have a tagline or headline in mind? Are there visuals you'd like to use?Tell us about what you'd like the handout to communicate.What do you want to accomplish with this handout? Do you have a headline or tagline in mind? How many total handouts do you need? What size? Letter (8.5 x 11) Half-sheet (5.5 x 8.5) Fancy-fold Whatever Marketing chooses is fine with me! I need a digital copy of the handout. Send me a digital copy of the handout How will the handouts get to you?For the handouts to be delivered on an ES&S truck, they must be ordered at least 2 weeks in advance of your event, and there must already be a truck going to your event. Ship to address I will pick up in Omaha ES&S truck delivery to my event Ship to address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country When do you need the handouts delivered to you?* MM slash DD slash YYYY PosterPosters require an at-minimum 4 day lead time, with an additional 24 hours for production. You will be responsible for sending the print files to a FedEx near you for production and pickup. Marketing will provide instructions for ordering your posters.What is the purpose of the poster? Promotion of event Promotion of ES&S products Other What would you like the poster to say about the products?Secure, auditable, easy-to-use, accessible, newly-certified? What features or benefits of the product do you want to promote? Do you have a tagline or headline in mind? Are there visuals you'd like to use?Tell us about what you'd like the poster to communicate.What do you want to accomplish with this poster? Do you have a headline or tagline in mind? What size? 18" x 24" 22" x 28" 24" x 36" 36" x 48" MailerWhat is the purpose of the mailer? Invitation to event Promotion of ES&S products Other What would you like the mailer to say about the products?Secure, auditable, easy-to-use, accessible, newly-certified? What features or benefits of the product do you want to promote? Do you have a tagline or headline in mind? Are there visuals you'd like to use?Tell us about what you'd like the mailer to communicate.What do you want to accomplish with this mailer? Do you have a headline or tagline in mind? How many total mailers do you need? What size? Letter (8.5 x 11) Half-sheet (5.5 x 8.5) Postcard (5 x 7) Fancy-fold Whatever Marketing chooses is fine with me! I need a digital copy of the mailer. Send me a digital copy of the mailer How will the mailers be sent out? I will send them I will provide a list of addresses to Marketing Mailer send date:* MM slash DD slash YYYY Event DetailsDate of Event:* MM slash DD slash YYYY Event start time: Event end time: Event location, address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is the event in a specific room or suite?Include floor/level, if applicable. Is RSVP required? Yes No By what date do you need RSVPs? MM slash DD slash YYYY Are there any important travel details for this event?Proximity to hotel, parking instructions, etc.Tell us more about the event.Is it being held in a new location this year? Is there a theme? Is there another event happening right before or after your event we should mention in communications to invitees? Is there a speaker or topic you want to promote?Media KitMedia Kits are typically kicked off by a notification from Orders and Contracts. If you need a kit produced outside this process, please use this form. Digital versions of the Media Kit can be produced same-day. Printed copies can be produced within two business days.Which customer are you requesting a Media Kit for?County name, Township name (if applicable), State. What products would you like included?Media kits contain customized product information based on what the customer is currently using. Ballot on Demand DS200 DS450 DS850 Electionware ExpressPoll ExpressTouch ExpressVote as a Marker ExpressVote as a Tabulator ExpressVote XL Mail Ballot Verifier How would you like the Media Kit delivered to the customer?If shipping to customer, customer address and contact name will be pulled from Synergy. Ship to the customer's address I will hand deliver - ship to my address I will hand deliver - I will pick up in Omaha My address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code The customer's address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Pickup date MM slash DD slash YYYY What date would you like the Media Kit delivered?By default, Media Kits are shipped using standard USPS ground delivery. Depending on the shipping address, the Media Kit may take up to 9 business days to arrive. A member of the Marketing team will confirm the estimated delivery time with you before selecting a shipping option. MM slash DD slash YYYY Please email me a digital copy of the Media Kit to share with the customer. Email me a digital copy General informationYour name* Your department* Your email address* Your phone number* Tell us about your need.What's the situation? What would you like to accomplish?Due date:* MM slash DD slash YYYY Who needs to give final approval before this project can be implemented?*To get this project into your hands by your specified due date, we'll need to plan for enough time for stakeholders to give feedback. Who needs to see this thing before it's out in the world? Are you a robot?
