Email Request Form

Need to send out an email blast? Great! Please complete this form and we'll get to working.

  • We'll do our best to accommodate timing.
  • You want people to open the email right?
  • Need help deciding between two subject lines? We'll help!
  • Text that appears before the email is opened.
  • Sender Name appears in the Inbox of recipients. Examples: "Child Mind Institute", "Harold S. Koplewicz, MD - Child Mind Institute"
  • This email address generally appears once a recipient has opened the email. Examples: info@childmind.org or Harold.Koplewicz@childmind.org
  • Who should receive email replies?
  • Who should receive the first round of test emails?
  • Drop files here or
      Word Doc should contain email copy fully formatted including links, buttons, and image placement instructions.
    • Drop files here or
        Want to include an image in this email?
      • Think of the #1 action you'd like readers to take.
      • Feel free to describe the target audience or upload a new list.
      • Drop files here or
        Accepted file types: csv, xls, xlsx.
          If you would like us to send this email to a new list of people, please upload a CSV file here. It's important that the following fields are included and are separated into their own columns: A) First Name, B) Last Name (if necessary), C) Email Address