Sample Email Request Form
Project Hit Dates
Request Date
Target Blast Date/
Time
Internal Head's Up
External Head's Up
1st Test Needed
Message Detail
Subject
Subject Dynamic? Yes
No
Email From Name
Email From Name
Dynamic?
Yes
No
Email From Email
Email From Email
Dynamic?
Yes
No
Design
Will a New Header
be needed?
Yes
No
Will a Footer be
needed
Yes
No
Will the Email need
an RSVP Button
Yes
No
Will a Signature be
used?
Yes
No
Email Goals
Goals Generate Leads Generate Registrants
Announce Support
Recruit Increase Web Traffic
Increase Booth Traffic Remind
Notify Survey
Nurture
Other
Description
Call to Action
Include Strategic
Testing
Yes
No
Type of Testing Subject line
Offer
Call to Action
Send Day
Send Time
Other
Audience Agent
Prospective Agent
Partner
Insured
Prospective Insured
Vendor
Other
Email Type
Category Product Leadership Event Service
other
Compliments of Marla Chupack - Contact me for email consulting - mchupack@gmail.com
Segmentation
Type of
Segmentation
Country
Zip
State
Zone
Product
Branch
Industry
Other
Segmentations to
Exclude
Choice 1
Choice 2
Lists
List will be provided Yes
No
Smart List(s) to Use
Email Additions
Form Page
Needed?
Yes
No
Landing Page
Needed?
Yes
No
Reminder email(s) Yes
No
Is Auto Respond
Email needed?
Yes
No
Number of
Reminder Emails
Is a Save the Date
token needed on
Auto-Respond
email?
Yes
No

Sample email request form

  • 1.
    Sample Email RequestForm Project Hit Dates Request Date Target Blast Date/ Time Internal Head's Up External Head's Up 1st Test Needed Message Detail Subject Subject Dynamic? Yes No Email From Name Email From Name Dynamic? Yes No Email From Email Email From Email Dynamic? Yes No Design Will a New Header be needed? Yes No Will a Footer be needed Yes No Will the Email need an RSVP Button Yes No
  • 2.
    Will a Signaturebe used? Yes No Email Goals Goals Generate Leads Generate Registrants Announce Support Recruit Increase Web Traffic Increase Booth Traffic Remind Notify Survey Nurture Other Description Call to Action Include Strategic Testing Yes No Type of Testing Subject line Offer Call to Action Send Day Send Time Other Audience Agent Prospective Agent Partner Insured Prospective Insured Vendor Other Email Type Category Product Leadership Event Service other
  • 3.
    Compliments of MarlaChupack - Contact me for email consulting - mchupack@gmail.com Segmentation Type of Segmentation Country Zip State Zone Product Branch Industry Other Segmentations to Exclude Choice 1 Choice 2 Lists List will be provided Yes No Smart List(s) to Use Email Additions Form Page Needed? Yes No Landing Page Needed? Yes No Reminder email(s) Yes No Is Auto Respond Email needed? Yes No Number of Reminder Emails
  • 4.
    Is a Savethe Date token needed on Auto-Respond email? Yes No