MTCTW PR Intake Form

Just complete the form below and we can start matching opportunities to your preferences and goals.

Completing this takes questionnaire just a few minutes. Your answers help us match you with the opportunities that matter most for you.

First Name

Last Name

Name as you want it to appear in media

Mobile/WhatsApp Number

Business Name and Website

LinkedIn Profile

Facebook Profile

Instagram Profile

TikTok Profile

YouTube Channel

Book title(s) and publication date(s)

Short bio (100 words or less)

In one sentence, what are you known for?

List 3–5 topics you can speak or write about with authority.

Who is your ideal client or audience?

Any media you've already been featured in? (Links please)

What opportunities excite you most?

Name up to 5 dream outlets.

What do you most want PR to do for you?

What is your typical monthly budget for placements?

What personal story or turning point shapes your message?

Are there any topics or outlets you want to avoid?

Anything else you'd like to share with Ellie's team?