Website Promotion Form - Campaign In A Box

Free Website Promotion - Intake Form

Candidate Info

Full Name

Phone Number

Show phone number publicly on website?

Yes No

Website Content Information

Running for office to serve [City/District]

Do you have a domain registered/purchased?

Not Yet Yes

Enter the domain you'd like used

Preferred Color Theme (Leave blank if your open-minded)

Official Committee Name:

Preferred Website Contact Email Address

Fundraiser/Donate URL (If Any)

List Your top 3 priorities (examples: public safety, lowering taxes, education, supporting veterans, homelessness, infrastructure, parental rights, etc.)

Is there any additional information you would like displayed on your website?

Upload Your Photos (Personal Photo, Family Photos, Casual/Community Photos, etc) that you'd like used on the website