Basic Information

Business Name

First Name

Last Name

Phone *

Email *

Industry/Niche

State

City

Event Information

Event Name

Event Date & Time

Event Location

Support Needed

Event Description

Target Audience

Deadline

Additional Requirements

I confirm that the information provided in this form is accurate and complete, and I authorize YGC Assist to use the information and materials provided for the purpose of delivering the requested marketing services. I understand and agree to the Marketing Support Terms & Conditions.