Please note: all fields are mandatory. Enter "n/a" if a field doesn't apply. Direct any questions to Production.

    Who are ya?

    What's your e-mail address?

    For which station is this request?

    New or existing prospect?

    Business name

    Business address

    Contact name

    Contact phone number

    Requested date of completion

    Date of presentation

    Quantity and length of spots

    Format for presentation

    Approximate budget requested from client


    Client's annual advertising budget


    Projected length of campaign

    Type of campaign

    Goal of campaign / client expectations

    Client's product or service

    How much this client has invested with us year-to-date


    Describe the client's best potential customers:
    the 25% who do 75% of their business

    Customer gender approximation

    male      female

    What are the benefits of dealing with this client?

    What's in it for the customer?

    Who is the client's competition? What sets the client apart?

    Do they use a positioning statement or require a specific landmark referral for location?

    Have they used radio before?

    Is there any print involvement?

    Is there any TV involvement?

    Any other notes to add to this request? (Optional)