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1 Hartsfield Center Pkwy Suite #500
Atlanta, GA 30354
9:00 AM - 5:00 PM
Monday to Saturday
770-209-3492
Broadcast with Us
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Andrea’s Email Only Lead Submission Form
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INITIAL CONTACT INFORMATION
Name of Church:
Original Phone Number Called (from the lead sheet):
Please enter number just in case one of us has to call the main number from the lead again.
Spoke to (who took the call/answered phone):
*
Pastor/Decision Maker
Pastor's Secretary
Office Assistant/Manager
Receptionist
Other
Local Channel Market:
Atlanta, GA
Baton Rouge/New Orleans, LA
Birmingham/Montgomery, AL
Central Florida
Charlotte, NC
Chicago, IL
D.C./Baltimore, MD
Dallas/Ft. Worth, TX
Dayton/Cincinnati/Columbus, OH
Detroit, MI
Houston, TX
Jackson, MS
Memphis, TN
New York Metro
Northern California
Philadelphia, PA
Raleigh/Durham, NC
Richmond/Hampton Roads, VA
Southern California
Southern Florida
Tulsa/Oklahoma City, OK
SENDING INFORMATION VIA EMAIL
OK to send info?
Yes.
No.
Who is the email going to:
Pastor/Decision Maker
Pastor's Secretary
Office Assistant/Manager
Receptionist
Other
Prospect's Email:
*
Please have them spell it out for clarity.
Email to Copy Someone Else:
Please have them spell it out for clarity.
How to address the party (in the email):
*
Specify by "first name", like ("Pastor Steve"), or by last name, like "Pastor Stevens".
Time Zone:
EST
CST
MST
PST
Church Qualifiers:
Is a "FULL GOSPEL" preaching, teaching, and believing church.
Videotapes their main services every Sunday.
Has an average of 15 to 35 people that support the ministry every month.
Has a website and/or social media presence.
Are they streaming services live?
Wants a Kingdom CTVN Brochure to review.
Would they be open to advertising or broadcasting on TV?
Enthusiasm/Interest Level:
*
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Rate the callback interest level for me to know how "warm" or "receptive" you think they might be when i call.
Do you think YOU can "RANDOMLY" call them back to follow up the email sent and set a FUTURE callback appointment for a sales rep to contact them?
*
Yes.
No.
Date / Time for the follow-up callback to START:
Date
Time
Date / Time for the follow-up callback to END:
Date
Time
Notes:
*
Type N/A if none.
Submit