ONBOARDING FORM

First Name *

Last Name *

Email *

Business Name *

Personal Phone Number *

Business Website

Instagram Page *

Do you have any existing lead/patient data for an sms campaign? *

What is your EXCLUSIVE offer you want to promote?

What is your front's desk phone number?

What is your front desk's email?

What makes you different from other businesses in your area?

Please provide us your schedule throughout the week for when you can book appointments. The days and time are required. ex: (M-F 8:30 AM - 9 PM)

What are your services priced at?

Please email or attach some images from your clinic, this can be before and after results, pictures of your team etc....(so we can use them for the ad creative) if file size exceeded, email to phillip@ael-media.com

Please send a of photo you smiling with your uniform can be a past photo or a current photo. (Make sure there is lighting in the photo) *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.