Auto-Responder/ Irresistable Opt-in Form

Welcome

PLEASE complete this form regardless of which Auto Responder you will be using. Only complete this form once.

The information you provide here will be used to:

customize your opt-in offering
set up your MailChimp (or add opt-in to your existing Auto Responder) account
create your opt-in form
create the response email with the double opt-in

Be sure that you check and double check your responses as these will be used to customize and any changes will result in additional charges to you.

Although we are shooting for completing the work much quicker, please allow 7-14 working days for completion.

You will receive a copy of the customized pdf at the same time it is forwarded to be inserted into your auto-responder account, so that will indicate that we are working on it and where we are in the process.

IMPORTANT: We will not be contacting you. Everything we need from you is in this form.

Mailchimp/ Irrisistable Opt In

Set up and Customization

Name*
First Last
Business Name*
Address as you would like it to appear in your autoresponder (this is required by ALL autoresponders)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Email for Optin*
Website URL (must include https:// or http:// )*
Phone (if you want it included)
Website Username and Password for Opt In setup*
Custom Opt In Choice*
- 7 Day Smoothie Challenge
- 5 Days Sugar Free
- Your Own Opt In (You must provide the email sequence as well)
What is your existing Autoresponder (Mailchimp, Infusionsoft, Constant Contact, AWeber are just some examples. You need one to be able to deliver the opt in)*
Username and Password for your autoresponder*
Your headshot
Max. file size: 512 MB.
Logo
Max. file size: 512 MB.
Your brief bio or elevator pitch for the back page of the opt in
Verify Completeness*
- I verify this form is complete and accurate. I understand that changing this information later will require an additional fee. (If I am not ready to submit the full form now, I should do so at a later time.)