Research Information Request Form

Research Assistance
Rep Name

First NameLast Name
Rep E-mail
Rep Phone Number

Area CodePhone Number
Sales Manager
Station(s)
Business Name
Business Category
Required Date

MonthDayYear
Date
What are you trying to accomplish? Is there a specific objection, a question that needs answering or are you trying to get a first meeting?
Please identify the target audience. Demo, geographic location, lifestyle, income, anything you want uncovered.
Do you want to show how your station(s) audience is a direct fit with their customers /clients? Anything specific?
Any extra information, goals, expectations, etc.
Please be specific. The more custom the request the more time required.
Should be Empty:

Research Assistance