Submit a Project – Team Wilson Media

Your Name

Email Address

Phone Number

Application Status

I have completed the Referral Program Application.

Partnership Level

I am submitting a Project Referral. I am a Referral Partner and am submitting a Qualified Project Lead.

Organization Name

Address

Project Point-of-Contact

Role or Title

Contact Email

Contact Phone

Project Description

When is the project intended to take place?

Project Goals and Scope

Project Expectations and Estimated Budget

What is your relationship to the Project?

What is your relationship to the Client?

Additional Information

Attach any files or documentation related to this project.

Project Scope Assessment

FOR REFERRAL PARTNERS ONLY - Acknowledgement of Additional Steps

I acknowledge that in order to complete this submission, I must establish a connection between the Project Contact and the team at TWM, periodically follow up with the Contact, and participate in the project discovery process as requested.

Terms and Conditions

By submitting this form, I acknowledge that I am:
- qualified to participate in the Referral Program
- submitting this information according to the terms of the Referral Program
- authorized to provide this information
- not affiliated with the Project Client in such a way that constitutes a conflict of interest.
I acknowledge that the submission of this information does not obligate Team Wilson Media to either engage nor complete this or any other project.

Referral Submission

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