This is your CONTACT information for our records. This information does not appear in the commercial. We do not sell or give away your personal information.
First Name:
Last Name:
Company:
Address:
Unit/Suite/Box #:
City, State, ZIP:
Phone #:
- - Ext.:
Fax #:
Email:
Confirm Email:
Business Type:
select one... Real Estate Sales Residential Industrial & Commercial Financial & Insurance Construction Title Services Home & Garden Trade Association Training & Education Travel & Leisure Other Other: (This helps us understand your market and potential customers)
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Information you enter here in Step 2 may appear in your commercial, so double-check spelling, numbers, etc. We are not responsible for misspellings or wrong digits in any information you provide to us.
Name of the product or service you wish to advertise:
Brief Description:
(tell us, in a few words, what it is)
Your website (if any) - http://
Your 1-800 Toll Free # (if any):
Retail storefront location: (if "brick & mortar" business) street address or cross-streets
How will customers usein your product/service?:
(check all that apply)
at my retail or office location
online (website listed above)
by phone order (list phone # above)
come to my event
OTHER
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Script-to-screen, we do it all for you. But we need your input! Tell us what you want us to show on screen, for example, "When you list with us now, pay only 2% commission." It doesn't have to be pretty. We'll dress it up.
* We reserve the option to edit for length, spelling, content, style, and network standards.
Do you already have a TV commercial?
NO - Please make me a brand new TV ad, FREE
YES, ready for you to air YES, for reference only
YOUR TV OFFER & DISCLAIMERS(please be as descriptive as possible)
preferred start date:
As soon as possible
date preferred:
Does your company have a SLOGAN that you already use in commerce - online, in brochures, print ads, radio, etc.? (Example: "Meaties: the Brunch of Champions")
Company Slogan:
Upload Your Company Logo, if available: Accepted formats: .TIF, .PNG, .EPS, Photoshop, Illustrator. Should be at least 640 pixels wide by 480 tall. Max. file size: 2MB.
Upload Your Logo:
Almost done!
Tell us about your customer (or your desired customer). This helps us fine-tune your campaign to the right viewers.
I want to reach customers who are... :
Ages:
Male/Female:
Income/Spending:
Your Customer's Interests: (check all that apply)
automotive
business
career
clothes/fashion
entertainment
family/parenting
finance
games
health/fitness
kids/toys
music
news
pets
sports
shopping
technology
travel
Customer Location:
Nationwide (United States)
my local area
another local area (specify):
Tell us which package you want, and reserve your spot today!
Choose Your Ad Package:
“The Silver” - up to 3 mos. airings ($2,999) includes:
“The Silver”, Plus (check all that apply):
QuickTime video for your website: $149
Professional Voiceover: $199
“The Gold” - up to 6 mos. airings ($5,999) includes:
Language of commercial: English [Free], or Spanish [add $99]
By submitting this form, you agree to our Contract Terms. <-- I AGREE
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When you click “Submit” your order speeds directly to our offices, and you will be taken to the checkout window.
At this time, we request only a one-time reservation deposit of $50 via credit card or PayPal (applicable to your order). The reservation deposit is non-refundable. You will receive an invoice via email for the balance of your order, payable via cashier's check, official bank check or company check. After the balance payment is accepted, production can be completed in as little as 24 hours.
Form version 20070503 Copyright 2007, Academy Leader, Inc. All rights reserved. Copyrights rabidly enforced.