Intake Form - PR and Communications Services • Nefertiti Media

Name *

First

Last

Email *

Company Name

Website

Tell us about your business - what do you do?

Please tell us about the problem you'd like us to help you solve.

Which of these are you interested in? (check all that apply) *

What's your project budget? *

enter zero if you're interested in working on a retainer basis

For retainers - what's your monthly budget? *

enter zero if you're looking for a project-based service, not a monthly retainer