Product Review Application
Reviewer Section Date:__________________
Name:
Last First Middle Initial
Mailing Address:
Street (Apt) City, State Zip
Contact Information: ( ) ( )
Work Telephone Mobile Email
How did you learn about our company? Referred by?
Reason for interest in reviewing our product:
Publication Section
Subscribers/Fans Review Placement
Link/Distribution Name Followers/ Unique Count Y/N
Website/Blog
YouTube
Twitter
Podcast
Facebook
BlogTV
Newsletter/Magazine
Other
Please list products that you can conduct reviews (ex. iPhone 3G, Netbook, Kindle, etc.). NOTE: It must
be relevant to CaseCrown products. Please use CaseCrown.com as a reference.
Find Us on Facebook, Twitter and YouTube.
Email: Marketing@CaseCrown.com
www.CASECROWN.com

Product Review Application
Product Section
Which products are you interested in reviewing?
Case #1 Style/Design Color Size With/Without Pockets
Case #2 Style/Design Color Size With/Without Pockets
Contest Section
Do you or your company hold contests, giveaways, or events in technology related events? Please
describe the promotional process of these events.
Would you be interested in giving away CaseCrown products at these events?
Feedback Section (optional)
Feedback and comments: (Website, product, shipping, suggestions, ideas…..)
Find Us on Facebook, Twitter and YouTube.
Email: Marketing@CaseCrown.com
www.CASECROWN.com