List Building Request Form

Name *

First

Last

Business Email *

Department *

Is this list being build from a competitive event? *

Yes

No

What is the name of the competitive Event?

Please provide the dates and location of the event

Please provide the url the event

Please provide an overview of the brief required. Include as much information as possible. For example, Review the Speaker List for MWC23, create a list of first name, last name, job title, company. Add to Captello and create a 3 email nurture campaign *

Job Titles - include as many as possible *

Industry *

Geographic Location. Select all that are relevant *

Seniority. Select all that are relevant *

How many leads are you hoping we can gather?

Please provide at least 3 tags that the data set should have appended. These should clearly identify where the data as come from and help segment for future use. For example MWC Speaker List, Telecoms, Speaker Prospect *

When does this list need to be completed by? *

Thank you! We will review this information and be in touch if we have any further questions