Research Information Request Form

Research Assistance
Rep Name*

First NameLast Name
Rep E-mail*
Rep Phone Number*

Area CodePhone Number
Sales Manager*
Victoria - CKKQ - The Q!Victoria - CJZN - The ZoneVancouver - CJJR - JR CountryVancouver - NOW RadioCalgary -CKCE - Today RadioCalgary -CHPK - Wild 95.3Edmonton -CIUP - UP!Edmonton - CKNO - NOW RadioWinnipeg -CFQX - QX104 CountryWinnipeg -CHNW -NOW RadioOther
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