Please take a moment to provide some information about yourself and your organization. Registration is required for access to the information and tools available on the Everett Marshall Creative site. Filling out this form does not obligate you or your organization to enter into any business agreement with Everett Marshall Creative. Information provided will be held in strict confidence. Name* First Last Title* Name of Your Organization* Email* Enter Email Confirm Email Username* Password* Enter Password Confirm Password Strength indicator Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Website Type of Organization*Select...For ProfitNon ProfitAre you a Broadcasting entity?* Yes No (Ex: radio or TV, broadcast group, talent, or program)What services or products does your company provide?*Select any that apply* Talent Radio Station TV Station Radio Ownership TV Ownership Program or Show Broadcast Management Program Producer Name of Your Program* Program Information*Tell me about your show. Who are the players? What radio stations have carried your show? For what are you known?Call Letters - Station ID* City of License* Station / Broadcast Group Information*What type of digital delivery system do you currently use?* None Live Streaming On Demand/Podcast Mobile App Please provide a link to your live stream. Please provide a link to your On Demand or Podcast content. Please provide a link to your iOS app, if available. Please provide a link to your Android app, if available. Does your company engage in cause or social impact marketing?*SelectYesNoWhat kind of causes are important to you and with which non profits are you currently active?*Describe your cause/impact activities.*Please include information about your marketing and cause-marketing successes.Does your company or organization currently have a Story strategy?* Yes No Describe your Story strategy.*Upload File(s) Drop files here or Select files Accepted file types: pdf, Max. file size: 2 MB, Max. files: 3. Use this file uploader if you have any PDFs you'd like to submit that are relevant to the social identity of your organization. (Files MUST be PDFs.) What types of marketing do you currently employ?* None Radio TV Direct Mail Email Social Media Text Messaging Website Display/Banner Annual Revenue* Under $100,000 $100,000-$500,000 $500,000-$1,000,000 $1,000,000-$5,000,000 Over $5,000,000 What is your current donor retention rate?*Is your organization rated by Charity Navigator?* Yes No Please provide a link to your Charity Navigator listing.* Terms of Service* I agree to the Terms of Service MemberIDMessageTell me anything additional about your goals and what you hope I can help you accomplish.CommentsThis field is for validation purposes and should be left unchanged.
