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Sign Up Landing Page
Thank you for your interest in Constant Contact's Sign Up Page Service.
This service includes the following. We will:
Modify a Constant Contact sign up page with your preferred colors and branding
Deliver a draft within 5-7 business days
Up to two rounds of revisions with up to 30 minutes of live Design and Marketing consultation
You will have
5 business days
after the initial draft is provided to use the included two rounds of revisions. After the 5 business days expire, any additional work required may be charged at an hourly rate.
Check Out Our Work!
View Design Examples
Payment & Acceptance
Username:
Name:
Internal use only:
Do you want more than one Sign Up Form? Additional $100 per sign up form.
Yes
No
How many Sign Up Forms would you like?
Please select...
2
3
4
By checking the box below, you authorize Constant Contact to make a one-time charge for a Sign Up Form in the amount (USD) of:
By checking the box below, you authorize Constant Contact to make a one-time charge for
Sign Up Forms in the amount (USD) of:
Constant Contact will charge the credit card on file with your Constant Contact account once this form has been completed. All Constant Contact products and services are subject to the Constant Contact
terms and conditions
. You agree that we may adjust this price if the payment method on your account is not USD and that you are responsible for any taxes that may be imposed on our services.
Yes, I agree.
May we use your design for marketing purposes?
Yes
No
Consent Form:
I hereby grant Constant Contact, Inc. and its affiliates (collectively, “Constant Contact”) . a perpetual, non-exclusive, royalty-free right and license to use, re-use, and promote any and all content about me or my company or organization (including my likeness and any images, photographs, digital videos or sound recordings, email campaigns, surveys, and testimonials) that I have provided to Constant Contact, in whole or in part, or any reproduction thereof in print, color or otherwise, made through any and all media (including on the Internet, social media, in print publications, video and multimedia presentations) for marketing or informational purposes, for illustration, art, promotion, information, advertising, trade, or any other purpose whatsoever. I represent and warrant that I have (i) all rights to provide Constant Contact with the content I am providing, including, but not limited to, any photos, videos, audio, and any written material, such that Constant Contact may use such content as contemplated herein and (ii) I have received any necessary consent from any person depicted or featured in such content in order for Constant Contact to use such content as contemplated herein. I hereby agree to indemnify and hold Constant Contact, its licensees, partners, and affiliates harmless from any liability resulting from the content I have provided, including my statements and action depicted or described in the information, and any text, audio, video, images and/or graphics submitted to Constant Contact.
I understand that I may or may not have the ability to approve and verify an article or testimonial written about me or my company or organization based on the content I have provided or that Constant Contact has captured, but that I will not be able to examine or approve the completed product (or products) or the advertising copy, printed matter, videos, sound recordings, photographs or screenshots that may be used in conjunction therewith.
I understand that Constant Contact is not obligated to use my content or any rights granted to the Company hereunder.
I understand and agree that my consent is strictly voluntary and Constant Contact may or may not, without any obligation, provide me with compensation or other valuable consideration.
Constant Contact will only use the license granted hereby in a manner that it believes does not disparage you or your organization or put you or your organization in a negative light.
I have read this Consent Form and I fully understand the contents thereof. This Consent Form shall be binding upon me and my heirs, legal representatives and assigns. If applicable, I represent and warrant that I have the authority to execute this release on behalf of my company or organization.
Yes
No
Sign Up Landing Page Questionnaire
Besides Email, what other fields should be required?
First name
Last name
Phone number
Address
City
Country / State
ZIP / Postal
Company
Job title
Birthday
Anniversary
Custom field
What is the name of the custom field(s) you would like to show?
What is the name of the list, if any, that you prefer your new contacts to go into?
Sign Up Form Branding Requirements
My Website
Branding Colors
Branded Images/Guideline
Please enter your website URL:
Please enter your branding colors:
If you have any images or branding materials for us to use, please upload it here:
How do your multiple Sign Up Forms need to be different from each other?
What is the need of each sign up form?
Do you still need to speak with your designer before the first draft of your sign up form(s) is created?
(No Initial Consultation will be provided for rush requests)
Yes
No
Contact Information
