Landing Page Intake

An introduction to the landing page intake form should go here. Explaining turn around time and anything else special to note. You can preview the full landing page here.

1. First Name*
2. Last Name*
3. Your Email*
4. What email should your form send to?*
5. Upload your logo file(s) here:*
Your logo will be displayed at the top and bottom of your landing page. It is ideal for your logo to be against a transparent background. You can see a preview here.
Drop files here or

Accepted file types: png, zip, eps, ai, Max. file size: 20 MB, Max. files: 4.
6. Choose Your Photo*
To view the placement of the photo and the default photo click here.
- Default
- Custom
6A. Upload Your Photo*
This image must be 1920px wide by 1024px tall. This image should not include any text on it.
Accepted file types: png, jpg, Max. file size: 256 MB.
7. Choose the Title for your Page*
You can preview the placement of the title here.
- Default (Free Consumer Guide to LTC Insurance)
- Your Own Choice - Please fill in below
7A. Title for Your Page*
This should not exceed 50-60 characters with spaces.
8. Do you have a customized guide you'd like us to use?*
You can preview the placement of the guide here.
- No, please use the Default.
- Yes, I'll upload below.
8A. Upload your customized guide*
Please provide a PDF of the guide you wish us to use.
Accepted file types: pdf, Max. file size: 10 MB.
9. Do you have a video?*
You can preview the placement of the video here.
- No
- Yes, I'll provide a link below.
9A. Website address where your video is available.*
We support the embedding of YouTube and Vimeo videos.
10. Your Company's Website Address
11. Tell us about your company:*
This will be displayed here on your landing page. This should be 250 - 500 characters with spaces. You can preview the where your about copy will display here.
12. Your Company's Phone Number