IOT: ExactTarget Order Form

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Governor Mitch Daniels

14053

E-mail Marketing with ExactTarget > ExactTarget Order Form ExactTarget Order Form

Required fields:

Contact Information

Agency Name:

Department:

Program:

Name:

Title:

E-mail Address:

Work Phone:

Select ExactTarget Services

Everything below, is a agency requirement. So the agencies that wants the additional information when invoiced will supply it.

Desired Start Date:

E-mail Address for Software Delivery:

Package Selection:
Basic ($1,500) Advanced ($4,500)

Customized Services:
Implementation Services ($3,350)
E-mail Optimization & Deliverability Services ($5,025)
Customized Service Work ($100/hr)

Agency Billing Information

Billing Contact Name:

Billing Contact Title:

Billing Contact E-mail Address:

Billing Contact Work Phone:

Fund:

Special Billing Instructions (If Any):
No Fund/Center

Project (if required):

If using project the following are required:

Activity Code:

Analysis Code:

Other codes that may be required by agency:

Source Type:

Service Category:

Source Sub Category:

Locality:

Incident:

Other Information

Add a Message (Optional):