Create a 1 page site (really a squeeze page) that will be set up with PURLS. The site will have a form to fill out and it should email me their information in v-card form. Also, the site should track and email me on a daily basis all of the purls that were used for that day.
The site will also carry a video. Just 15-20 sseconds of someone introducing the site, I will provide the video.