Promo Request Form

Salesperson(Required)

Email Address(Required)

Name of Promotion/Feature/Event(Required)

Client Name(Required)

Client Email(Required)

Start Date(Required)

End Date(Required)

Prize/Prize Value(Required)

If not applicable, please put N/A

Physical Address(Required)

Website/Facebook(Required)

Phone Number(Required)

On Air Copy(Required)

Link for click-thru(Required)

Bounceback Message(Required)

Lead Generating Question(Required)

Lead Generating Answer(Required)

Client Logo

Accepted file types: jpg, gif, png, pdf, jpeg, heic, Max. file size: 8 MB.

Copy of Promo/Feature One Sheet(Required)

Drop files here or

Accepted file types: pdf, jpg, jpeg, heic, Max. file size: 8 MB.

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