Please note: all fields are mandatory. Enter "n/a" if a field doesn't apply. Direct any questions to Promotion. Who are ya? What's your e-mail address? For which station is this request? —Please choose an option—100.3 The Q!The Zone @ 91-3Q!/Zone Combo Is this request for on-air, digital, or both? —Please choose an option—on-airdigitalon-air and digital Part I — Promotion Request Summary Client name Contact name Contact phone number Client's product or service How much this client has invested with us year-to-date [ON-AIR] $ How much this client has invested with us year-to-date [DIGITAL] $ What is the advertising buy attached to this promo [ON-AIR]? $ What is the advertising buy attached to this promo [DIGITAL]? $ What, specifically, is the client's promotional objectives or expectations? What specifically is the prizing involved to successfully execute this event (quality and value)? Timeframe of Promotion Starting Ending Exact date (or dates) of promotion Has your client approached other media for this Promotion? If this request includes digital, please include details here. (Optional) Any other notes to add to this request? (Optional) Date of your next meeting with client Part II — What will the Client provide? On-air spot schedule Cash amount of this buy $ Digital campaign Cash amount of this buy directed to digital $ Prizes Retail value of prizes provided by client $ Talent or setup fee Cash to cover hard costs $ Other cash or promo value Other benefits not listed above $ Total benefits $
