Marketing Forms

Marketing Requests

EBI Booklet Intake

EBI Booklet Intake

Renewal or New School District(Required)

Renewal

New School District

Submitted by email:(Required)

Please provide your company email address.

Marerial Type(Required)

PDF

Flipbook

Print

Quantity(Required)

Booklet Arrival Date(Required)

MM slash DD slash YYYY

Open Enrollment Start Date(Required)

MM slash DD slash YYYY

Open Enrollment Announcement(Required)

Print Flyer (8.5×1)

OE Email

None

BenAdmin System(Required)

Employee Navigator

Selerix

None

Pickup or Ship?(Required)

Pickup

Ship

Shipping Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Mailing Arrival Date

MM slash DD slash YYYY

Initial Notes

New Client Logo

If this is a new client or if the client has a new logo, please provide.

Max. file size: 1 GB.

Previous Booklet or Example Booklet

Max. file size: 1 GB.

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