Pushloud USPS Direct Mail Ads Program - Client Intake Form

Full Name

Business / Organization Name

Business Address

City

ZIP Code

Phone Number

Email Address

Business Website (if any)

Type of Business

e.g., Restaurant, Church, Service Business

Main Offer or Promotion

e.g., 20% Off, Grand Opening, Special Event

Preferred Mailing Areas

ZIP Codes separated by commas, or city names, or 'Nearby Neighborhoods'

Preferred Mail Piece Type

Flyer

Postcard

Approximate Quantity of Mailers

500-1,000

1,000-5,000

5,000-10,000

Not Sure Yet

Do you need Pushloud to design your mail piece?

Yes

No, I have a ready design

I'm not sure, need guidance

Do you need us to print the mailers for you?

Yes

No, I will handle printing

I'm not sure yet

When do you wish to send your mailers?

As soon as possible

Within 30 days

Within 60 days

Specific Date

If you choose Specific Date, please specify below

Preferred Mailing Date

What is your estimated budget for this campaign?

Under $500

$500-$1,000

$1,000-$2,500

$2,500+

Need recommendations first

Additional Notes / Questions