#Project Blue World Project Intake Form

First Name *

Last Name

Organization NameEnter organization name here if applicable.

Title

Phone Number

Email Address *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Requirements0 / 180

WebsiteEnter website if applicable

Other Media LinkFacebook, Linkedn, Instagram, X, any other link you would like us to view.

Upload file(s)

Upload any presentation pack, report or other significant information we may require.

Contact Approval *I authorize Project Blue World to contact me (we will not put your name on future mailing lists unless you approve).Authorize PBW to communicate with you and or your organization

Information Storage Approval *I authorize Project Blue World to receive my personal and or business information as received on this form and for PBW to store information electronically under security from distribution. (PBW will not distribute or sell your information, we hold information in discreet file and ensure we follow up to talk to you, we will delete file upon request anytime).Information ‘secure storage’ approval.

Agree with PBW Terms of Service & Privacy PolicyI have reviewed and agree with PBW Terms of Service & Privacy Policy – click here to review https://projectblueworld.ca/terms-of-service-privacy-policy/Review and agree with PBW Terms of Service & Privacy Policy