Media Plan Request

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Your Name *

Agency *

Email *

Phone Number *

Client *

Sport

• MLB
• NFL
• NBA
• WNBA
• NHL
• MLS
• Auto
• College
• PGA
• Other

Overall GoalShort TermLong Term

• Adveritsing
• Branding
• Hospitality
• Sampling
• Sponsorship

Campaign Date

Budget

Client Sports Background

Markets

Does the client have creative on hand?

• Yes
• No

If no, expected date of completion

Type of Creative

• Print
• Audio
• Video
• Interactive
• Other

Type of Media Sought

Will client consider any of the following:

• Video Board
• LED
• Hospitality
• Coupons
• Team Print
• Team Radio
• Team TV
• Web
• Kiosk
• Sampling
• TV Rotational
• TV Visible Signage
• Team Partnership
• Mobile

Date Completed

Date Followed Up

Date Placed

Client Notes

Email

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