Name* First Last Company/Organization*Email* Enter Email Confirm Email Phone*Advertising Client's Official Name (i.e. candidate, committee, PAC, etc.)*Advertising client's Website What types of media campaigns are you interested in? Check all that apply* Broadcast TV Cable TV Online Video Radio Print (e.g. newspaper, magazine, brochures, newsletters, booklets, etc.) Out-of-Home (e.g. billboards, transit and transit stations, street furniture) Social Media Digital/Online (e.g. banner ads, pre-roll, IP append, Google AdWords All of the above Length of Spot (Broadcast/Cable TV) :30 :60 Length of Spot (Online Video) :15 :30 :60 Other Length of Spot (Radio) :15 :30 :60 What is the goal of the campaign? (e.g. gain supporters, fundraising, brand awareness)What direct action do you want viewers to take after seeing the ad?Who is the target audience? (Age, Gender, Race, Geographic/voting area, voting affiliation, etc.)What is the length of the campaign? Please provide specific start and end date, if knownWhat is the target rating point goal for this campaign?If this campaign is part of an election, what is the election date?Does an email and/or mailing list of your base supporters/audience exist and what is its size?What production is needed for this campaign? (Check all that apply) Creative design Website or landing page TV/radio/video scripting TV/radio/video production What is the overall production budget?$5-$10k$11-$15k$15-$20k$20-$25k$25k and aboveWhat is the overall paid media placement budget?$5-$10k$11-$25k$25-$50k$50-$100k$100k and abovePlease provide additional information that would be helpful Δ
