Publishing Request Form
Get Featured on State Press
Fill out the form below so we can match you with the right publishing plan and get your story in front of the right audience.
Someone filled out a publishing request form!
Contact Information
Full name: %%full_name%%
Email: %%email_address%%
Business Name: %%business_name%%
Phone Number: %%phone_number%%
Location & Coverage
Business Address: %%business_address%%
Preferred Coverage: %%preferred_coverage%%
Industry & Focus
Primary Industry: %%primary_industry%%
Publishing Goals: %%publishing_goals%%
Story Details
Feature Details: %%feature_details%%
Key Details: %%key_details%%
Social Media Links: %%social_media%%
Content Support
Content Support: %%content_support%%
Timeline
Timeline: %%timeline%%
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required_mark=”on” field_grid_column=”et_pb_column_1_2″ field_placeholder=”Email Address” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”39px||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Business Name” field_id=”business_name” allowed_symbols=”letters” required_mark=”on” field_grid_column=”et_pb_column_1_2″ field_placeholder=”Business/Brand Name” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”-18px|10px|||false|false” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/de_fb_form_field][de_fb_form_field field_title=”Phone Number” field_id=”phone_number” allowed_symbols=”numbers” field_grid_column=”et_pb_column_1_2″ field_placeholder=”Phone Number (optional)” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”-18px||||false|false” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/de_fb_form_field][de_fb_form_field field_title=”Business Address” field_id=”business_address” allowed_symbols=”alphanumeric” required_mark=”on” field_grid_column=”et_pb_column_1_2″ field_placeholder=”Business Address (City, State)” description_text=”on” description_text_text=”Location & Coverage Preferences” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” form_field_font=”Montserrat||||||||” custom_margin=”|10px|||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Preferred Coverage” admin_title=”Preferred Coverage” field_id=”preferred_coverage” field_type=”select” select_placeholder=”on” select_placeholder_text=”Preferred Coverage (select one)*” select_options=”%91{%22value%22:%22Local Feature (1 State Site)%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22National Feature (Multiple Regional Sites)%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Ongoing Local Visibility Plan%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Ongoing Growth Visibility Plan%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Not Sure / Need Recommendation%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”on” field_grid_column=”et_pb_column_1_2″ _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ custom_margin=”39px||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Primary Industry (or Niche)” field_id=”primary_industry” allowed_symbols=”alphanumeric” required_mark=”on” field_grid_column=”et_pb_column_1_2″ field_placeholder=”Primary Industry or Niche” description_text=”on” description_text_text=”Industry & Focus” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” form_field_font=”Montserrat||||||||” custom_margin=”|10px|||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Publighing Goals” admin_title=”Publishing Goals” field_id=”publishing_goals” field_type=”select” select_placeholder=”on” select_placeholder_text=”Main Goal for Publishing (choose up to 2):*” select_options=”%91{%22value%22:%22Improve SEO / Google Rankings%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Increase Local Awareness%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Establish Brand Authority%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Promote a Product or Service%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Announce a Launch or Event%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22Other (please specify)%22,%22checked%22:0,%22dragID%22:4}%93″ required_mark=”on” field_grid_column=”et_pb_column_1_2″ _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ custom_margin=”39px||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Feature Details” admin_title=”Feature Details” field_id=”feature_details” field_type=”text” required_mark=”on” field_placeholder=”What would you like us to feature? (short paragraph)” description_text=”on” description_text_text=”Story Details” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” custom_padding=”|45px|||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Key Details” admin_title=”Key Details” field_id=”key_details” field_type=”text” field_grid_column=”et_pb_column_1_2″ field_placeholder=”Key Details to Include (bullet points — optional)” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” content_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”-17px|10px|||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Social Media Links” admin_title=”Social Media Links” field_id=”social_media” field_type=”text” field_grid_column=”et_pb_column_1_2″ field_placeholder=”Website / Social Media Links (optional)” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” content_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”-17px|10px|||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Content Support” admin_title=”Content Support” field_id=”content_support” field_type=”select” select_placeholder=”on” select_placeholder_text=”Do you already have a press release or draft content?” select_options=”%91{%22value%22:%22Yes (I’ll provide it)%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No (Please create it for me)%22,%22checked%22:0,%22dragID%22:0}%93″ required_mark=”on” field_grid_column=”et_pb_column_1_2″ enable_placeholder=”off” description_text=”on” description_text_text=”Content Support” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” custom_margin=”|10px|||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Timeline” admin_title=”Timeline” field_id=”timeline” field_type=”select” select_placeholder=”on” select_placeholder_text=”Desired publishing timeframe:” select_options=”%91{%22value%22:%22As soon as possible%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Within 2 weeks%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Within 1 month%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Flexible%22,%22checked%22:0,%22dragID%22:2}%93″ required_mark=”on” field_grid_column=”et_pb_column_1_2″ enable_placeholder=”off” description_text=”on” description_text_text=”Timeline” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][/de_fb_form]
Someone filled out a publishing request form!
Contact Information
Full name: %%full_name%%
Email: %%email_address%%
Business Name: %%business_name%%
Phone Number: %%phone_number%%
Location & Coverage
Business Address: %%business_address%%
Preferred Coverage: %%preferred_coverage%%
Industry & Focus
Primary Industry: %%primary_industry%%
Publishing Goals: %%publishing_goals%%
Story Details
Feature Details: %%feature_details%%
Key Details: %%key_details%%
Social Media Links: %%social_media%%
Content Support
Content Support: %%content_support%%
Timeline
Timeline: %%timeline%%
” save_to_database=”on” button_alignment=”center” label_padding=”||||false|false” description_padding=”||||false|false” whole_form_padding=”||||false|false” whole_form_margin=”||||false|false” _builder_version=”4.27.4″ _module_preset=”default” _unique_id=”b9edbb55-0a3c-433a-986d-64a79036d7a3″ form_field_text_color=”#000000″ header_1_font=”Montserrat||||||||” header_1_text_color=”#000000″ header_1_font_size=”24px” header_2_font=”Montserrat||||||||” header_2_text_color=”#000000″ header_2_font_size=”18px” form_field_font=”Montserrat||||||||” form_field_text_align=”left” custom_button=”on” button_text_color=”#FFFFFF” button_bg_color=”#00207D” button_bg_use_color_gradient=”on” button_bg_color_gradient_direction=”140deg” button_bg_color_gradient_stops=”#265cbd 20%|#00207d 50%” button_border_width=”0px” button_border_radius=”33px” button_icon=”E||divi||400″ button_icon_color=”#FFFFFF” button_custom_padding=”8px|33px|8px|33px|true|true” width=”100%” module_alignment=”center” 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form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Business Name” field_id=”business_name” allowed_symbols=”letters” required_mark=”on” field_placeholder=”Business/Brand Name” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Phone Number” field_id=”phone_number” allowed_symbols=”numbers” field_placeholder=”Phone Number (optional)” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Business Address” field_id=”business_address” allowed_symbols=”alphanumeric” required_mark=”on” field_placeholder=”Business Address (City, State)” description_text=”on” description_text_text=”Location & Coverage Preferences” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Preferred Coverage” admin_title=”Preferred Coverage” field_id=”preferred_coverage” field_type=”select” select_placeholder=”on” select_placeholder_text=”Preferred Coverage (select one)*” select_options=”%91{%22value%22:%22Local Feature (1 State Site)%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22National Feature (Multiple Regional Sites)%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Ongoing Local Visibility Plan%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Ongoing Growth Visibility Plan%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Not Sure / Need Recommendation%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”on” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Primary Industry (or Niche)” field_id=”primary_industry” allowed_symbols=”alphanumeric” required_mark=”on” field_placeholder=”Primary Industry or Niche” description_text=”on” description_text_text=”Industry & Focus” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Publighing Goals” admin_title=”Publishing Goals” field_id=”publishing_goals” field_type=”select” select_placeholder=”on” select_placeholder_text=”Main Goal for Publishing (choose up to 2):*” select_options=”%91{%22value%22:%22Improve SEO / Google Rankings%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Increase Local Awareness%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Establish Brand Authority%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Promote a Product or Service%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Announce a Launch or Event%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22Other (please specify)%22,%22checked%22:0,%22dragID%22:4}%93″ required_mark=”on” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Feature Details” admin_title=”Feature Details” field_id=”feature_details” field_type=”text” required_mark=”on” field_placeholder=”What would you like us to feature? (short paragraph)” description_text=”on” description_text_text=”Story Details” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” custom_padding=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Key Details” admin_title=”Key Details” field_id=”key_details” field_type=”text” field_placeholder=”Key Details to Include (bullet points — optional)” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” content_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Social Media Links” admin_title=”Social Media Links” field_id=”social_media” field_type=”text” field_placeholder=”Website / Social Media Links (optional)” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” content_text_text_color=”#000000″ form_field_font=”Montserrat||||||||” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Content Support” admin_title=”Content Support” field_id=”content_support” field_type=”select” select_placeholder=”on” select_placeholder_text=”Do you already have a press release or draft content?” select_options=”%91{%22value%22:%22Yes (I’ll provide it)%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No (Please create it for me)%22,%22checked%22:0,%22dragID%22:0}%93″ required_mark=”on” enable_placeholder=”off” description_text=”on” description_text_text=”Content Support” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][de_fb_form_field field_title=”Timeline” admin_title=”Timeline” field_id=”timeline” field_type=”select” select_placeholder=”on” select_placeholder_text=”Desired publishing timeframe:” select_options=”%91{%22value%22:%22As soon as possible%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Within 2 weeks%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Within 1 month%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Flexible%22,%22checked%22:0,%22dragID%22:2}%93″ required_mark=”on” enable_placeholder=”off” description_text=”on” description_text_text=”Timeline” _builder_version=”4.27.4″ _module_preset=”default” form_field_text_color=”#000000″ placeholder_text_text_color=”#000000″ field_description_font=”Montserrat|700|||||||” field_description_text_color=”#000000″ field_description_font_size=”18px” field_description_line_height=”2.2em” custom_margin=”||||false|false” global_colors_info=”{}”][/de_fb_form_field][/de_fb_form]