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Media Plan Request Form

This form is used to request the develop of a media recommendation for client review and approval, before any Insertion Order is created. This form goes to the media department, both the digital and traditional, so if you have specific media platform needs, please list them when asked. Otherwise, we’re going to use this information to develop the best course of action.

MM slash DD slash YYYY
Feel free to split this budget up - it is now a text area, so you can write things like Gross, net, or if you want to split the budget between multiple channels (Facebook vs display, etc) you can write them all out here. NOTE: if you don't put "Gross" or "Net", I'm going to assume it's gross, and we're going to peel it back (if it is something that we typically earn commission on.)
Is this product based or branding(Required)
Important to know if we're looking at a branding campaign, a direct sales channel, etc. What's the reason for this advertising?
Is the ad going to link to anything?(Required)

Write out your answer as best as possible.
Demographic - Gender(Required)
Demographic - Age(Required)
If you're only looking for red-headed left-handed watch makers, we need to know. So try to be as specific in your target audience as possible.
Where is the creative in process?(Required)
Whether video, radio, tv, etc., having a length helps determine the best buy. If unknown, say so. If none, say that.
Whether this is a banner ad on a website or a billboard, we need to know sizing. If unknown, say so. If none, say that instead.
Do you require some form of mockup before being launched (Media targeting sample buy, Facebook Mockup for compliance, etc)(Required)
Required Media(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY