Contact | R.C.T. Media Group, Inc.

Section 0

Service Division Selection.

Pick the operating division and subcategory that best matches your request. Division #0 (Corporate Operations & Federal Contracting) is reserved for federal procurement. The four operating divisions are below.

Service Division *

Subcategory *

Specific Role *

Brief Description Of Your Specific Need

Section 1

Client Type & Primary Contact.

Required fields depend on the client type you select. Individuals, families, veterans, and active military do not need to complete Section 2.

Client Type *

Individual Family Veteran Active Military Business / Company Nonprofit / Org

Filing On Behalf Of Another Party?

If Yes, Your Relationship

Date Of Submission *

Primary Contact

First Name *

Last Name *

Title / Role

Sex *

U.S. Resident *

Time Zone

Email *

Phone *

Best Time To Reach

Preferred Contact Methods (Select All That Apply)

Section 2

Mailing Address.

Where R.C.T. Media Group, Inc. should send any physical correspondence.

Street Address *

City *

State / Province *

ZIP / Postal *

Country

Organization Details (Business and Nonprofit clients)

Legal Company / Organization Name

DBA / Trade Name

Year Founded

Industry / Sector

Company Size

Entity Type

EIN / Tax ID (Optional)

Website URL

Business Credentials (Required For Business / Nonprofit Clients)

State Of Incorporation *

State Business Registration # *

Federal Tax ID / EIN *

DUNS / SAM.gov UEI *

State License / Permit #

NAICS Code

Other State / Federal Credentials *

Social Media (Optional)

X / Twitter

Instagram

Facebook / Other

Section 3

Project / Case Details.

Tell us what we are being asked to take on.

Project / Case Title *

Engagement Type *

Confidentiality Level

Description / Scope *

Target Audience / Stakeholders

Key Objectives / Success Measures

Section 4

Timeline, Budget & Source.

Honest constraints help us tell you fast whether we are the right fit.

Timeline

Desired Start Date *

Target Completion Date

Hard Deadline?

Urgency Level *

Anticipated Duration

Budget & Payment

Budget Range (USD)

Payment Preference

Funding Source

History & Source

Worked With R.C.T. Media Group Before?

How Did You Hear About Us? *

Referral Source Name

Section 5

Deliverables & Acknowledgments.

Tell us what you expect to walk away with, and confirm the standard terms.

Communication Preferences (Select All That Apply)

Weekly Check-Ins Bi-Weekly Check-Ins Monthly Reports Ad-Hoc / As Needed Project Portal Access Direct Phone / Cell Access

Secondary Contact (Optional)

Full Name

Relationship / Role

Email

Phone

Additional Notes / Special Requirements

Acknowledgments & Authorization *

I confirm the information provided is true and accurate to the best of my knowledge. I have reviewed and agree to R.C.T. Media Group, Inc. standard terms (or executed NDA on file). I authorize R.C.T. Media Group, Inc. to contact me regarding this inquiry.

Section 6

Signature & ID Verification.

The signature block is locked until the mandatory background check acknowledgment is confirmed below.

Mandatory Background Check Acknowledgment

By signing this intake form you acknowledge and consent that R.C.T. Media Group, Inc. will conduct a mandatory background check as part of the intake process. This check does not automatically deny any potential services. It exists solely to ensure that R.C.T. Media Group, Inc. can determine what services can be ethically provided based on verified information.

I have read, understand, and consent to the mandatory background check.

Consent Initials *

Authorized Signature (Locked Until Background Check Consent Confirmed)

Signature (Type Your Full Legal Name) *

Date *

Printed Name *

Title / Role

Initials *

Government-Issued ID Verification *

Required for all submissions. State ID, driver's license, passport, military ID, or any government-issued movement ID is accepted.

ID Type *

ID Number *

Issuing State / Country *

ID Expiration *

Date Of Birth *

Operations Desk.

Three paths. Same desk.

Quick Inquiry.

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Begin Engagement.

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