Text Messaging Submission Form
Please fill out all pertinent info below. Be aware that 3 text messages are standard: 1. A Welcome 2. A Mid Point 3. A Final Call
Point of contact for this project?
*
First Name
Last Name
Contact person's email
*
example@example.com
Company Name
*
Company Logo
*
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Enrollment Start Date
*
-
Month
-
Day
Year
Date
Enrollment End Date
*
-
Month
-
Day
Year
Date
Is Velocity creating a video or a benefits snapshot for this project?
*
Just a Video
Just a Snapshot
Both a Video and Snapshot
No
Cell Phone Text Template
Text Cell Phone Text Template Link
Cell Phone Census
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of
Benefits Guide to be sent or SBCs
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of
Any other Docs to be sent
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of
Date of 1st Text
*
-
Month
-
Day
Year
Date
Date of 2nd Text
*
-
Month
-
Day
Year
Date
Date of 3rd Text
*
-
Month
-
Day
Year
Date
Notes
Submit
Should be Empty: