Event Request

If you would like to host a LumiCeutical event, please let us know how we can help by filling out the form below.

[contact-form to=’mdeberard1@gmail.com’ subject=’Lumi Event Request’]

[contact-field label=’Name’ type=’name’ required=’1’/]

[contact-field label=’Best Contact Phone’ type=’name’ required=’1’/]

[contact-field label=’Email’ type=’email’ required=’1’/]

[contact-field label=’Event Date’ type=’text’ required=’1’/]

[contact-field label=’Event Location (Address, City, State, Zip)’ type=’text’ required=’1’/]

[contact-field label=’Name of Event’ type=’text’ required=’1’/]

[contact-field label=’Have you been a vendor at this event or with these organizers before? If so, what were the prior results in general? ‘ type=’textarea’ required=’1’/]

[contact-field label=’Number of booths you plan to order?’ type=’text’ required=’1’/]

[contact-field label=’LumiCeutical Support Requested’ type=’text’ required=’1’/]

[contact-field label=’Due Date for that support’ type=’text’ required=’1’/]

[contact-field label=’Amount of people expected at the event?’ type=’text’ required=’1’/]

[contact-field label=’Names of Lumi owner/ambassadors working at the event?’ type=’text’ required=’1’/]

[contact-field label=’Will Lumi be the exclusive product promoted at the booth?’ type=’text’ required=’1’/]

[contact-field label=’If not, what else will be promoted/included?’ type=’text’ required=’0’/]

[contact-field label=’Is there a speaking opportunity included?’ type=’text’ required=’1’/]

[contact-field label=’If so, who is the speaker?’ type=’text’ required=’0’/]

[contact-field label=’Need support with?’ type=’text’ required=’0’/]

[contact-field label=’Signs – How many?’ type=’text’ required=’1’/]

[contact-field label=’Chairs – How many?’ type=’text’ required=’1’/]

[contact-field label=’Brochures?’ type=’text’ required=’1’/]

[contact-field label=’Audio Equipment?’ type=’text’ required=’1’/]

[contact-field label=’Blankets?’ type=’text’ required=’1’/]

[contact-field label=’Presentation?’ type=’text’ required=’1’/]

[contact-field label=’Follow up?’ type=’text’ required=’1’/]

[contact-field label=’Other?’ type=’text’ required=’0’/]

[contact-field label=’How will Lumi gain from this exposure?’ type=’text’ required=’1’/]

Examples would be social media promos, newsletter exposure, website exposure, facebook live videos, photos, testimonials, feedback waivers that will be added to newsletter list, intended number of new renters, and intended number of new owners.

[contact-field label=’Pre-event?’ type=’text’ required=’1’/]

[contact-field label=’At event?’ type=’text’ required=’1’/]

[contact-field label=’Post event?’ type=’text’ required=’1’/]

[contact-field label=’Costs that will be handled by the Ambassador?’ type=’text’ required=’1’/]

Examples would be lodging, transportation, time, meals, paperwork, and materials.

[/contact-form]