Submit a Q!/Zone spec request again

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

New or existing prospect?

—Please choose an option—NewExisting

Business name

Business address

Contact name

Contact phone number

Requested date of completion

Date of presentation

Quantity and length of spots

1 x 30sx2 x 30sx1 x 60sx2 x 60sxother (type below)

Format for presentation

e-mailed MP3Audio CDCD and MP3

Approximate budget requested from client

$

Client's annual advertising budget

$

Projected length of campaign

—Please choose an option—12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152—Please choose an option—weeksmonthsyear(s)

Type of campaign

—Please choose an option—SponsorshipBrandingUtopiaShort term (min 13 wks)other (type below)

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

—Please choose an option—1%2%3%4%5%6%7%8%9%10%11%12%13%14%15%16%17%18%19%20%21%22%23%24%25%26%27%28%29%30%31%32%33%34%35%36%37%38%39%40%41%42%43%44%45%46%47%48%49%50%51%52%53%54%55%56%57%58%59%60%61%62%63%64%65%66%67%68%69%70%71%72%73%74%75%76%77%78%79%80%81%82%83%84%85%86%87%88%89%90%91%92%93%94%95%96%97%98%99%100% male     —Please choose an option—1%2%3%4%5%6%7%8%9%10%11%12%13%14%15%16%17%18%19%20%21%22%23%24%25%26%27%28%29%30%31%32%33%34%35%36%37%38%39%40%41%42%43%44%45%46%47%48%49%50%51%52%53%54%55%56%57%58%59%60%61%62%63%64%65%66%67%68%69%70%71%72%73%74%75%76%77%78%79%80%81%82%83%84%85%86%87%88%89%90%91%92%93%94%95%96%97%98%99%100% 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?

—Please choose an option—YesNo

Is there any print involvement?

—Please choose an option—YesNo

Is there any TV involvement?

—Please choose an option—YesNo

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