CLIENT AND COPY INFORMATION

Name of client's business or company:

Only provide as much of your client's address information as you would like to appear in your ad copy.
Address:

City:

Province/State:

Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ---------------------------------------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Country: Canada United Kingdom United States

Postal/Zip Code:

Phone number: (include area code)

Will there be a co-op with this ad copy?: Yes No
How many times does the co-op name have to appear in the copy?: 1 2 3 4 5 6 7 8 9 10

What is the co-op name which must appear in the ad copy?:

Client's product or service:

Their website address which may be visited for additional information:

Finished copy is emailed back to you within 24 hours. With that in mind, script approval is needed by what date?:
January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 24 25 26 27 28 29 30 31

Client's hook or specialty:

Client's slogan, tagline, or motto:


If your client does not have a slogan, tagline, or motto, would you like 3 suggestions for one submitted with your finished copy?: (NOTE: There is a separate fee for this service. Please see rate sheet for cost.)
Yes No

Client's 3 strongest selling points:

Should each of these 3 selling points...
have their own ad (ordering 3 spots) or...
should they all be incorporated into one ad?

Check all copy lengths needed:
:05 :10 :15 :30 :60

Ad type:
Image Ad Annual promotion Business Event Focus (specific product or service) Going out of business Grand Opening Grand Re-opening Liquidation Station Event Other

Ad type--If you chose "other," list here:

Ad type--If you chose event or promotion, list event or promotion here. If you chose focus, list the product or service to be focused on here:

Does your client have a jingle that this copy must fit into?
Yes No

If so, what kind of jingle is it?:
None Donut Double Donut Sing in Sing out Full instrumental

If you picked a jingle type other than full instrumental, what is the length of the available bed(s) and tag bed (if applicable) of the jingle for which you need ad copy?:

Copy qualities (check all that apply): [NOTE: If you choose options that are opposites of each other, it will be assumed you are receptive to using either type. Also, "bells & whistles" means you would like to utilize sfx.]

Urgency Straight read Light humor Off-the-wall humor High Energy Crazy Eddy Conversational Bells & Whistles Elegant/Refined Develope on-going Theme Serious Multi-character
If you don't see what you need above, list "other" here:

Often owners of small businesses have a child or other family member that they want to have written into their commercial. Is that the case here?:
Yes No

If so, provide information here. I.e., name, age, gender, etc.:

Does your client have a website that they want mentioned in their ad? :
Yes No
If so, please list it here:

ON TO SPECIFICS...

Use this space for copy points:
List copy points here.

Use this space for specific instructions:

Use this space for any additional information: