CTV ADVERTISING CAMPAIGN MEDIA PLAN REQUEST FORM

1

Company Name* This field is required.

2

Website Address* This field is required.

3

Describe The Product/Service You Are Promoting* This field is required.

4

What Is the Primary Goal of This Campaign?

Branding/Awareness

Foot Traffic to Business Location

Lead Generation / Form Fills

Online Sales / eCommerce

Recruitment

Other

5

Tell Us About Your CustomersPlease Describe Who You Would Like to Target For this Campaign. Include things like gender, marital status, income... Anything at all that will help us build a custom audience for you.

6

Do You Currently Run Video Ads on TV, CTV or Social Media* This field is required.

YESNO

7

Do you currently have a 15 or 30 second Commercial you would like to use?* This field is required.

YESNO

9

When Would You Like Your Campaign To Begin?* This field is required.

Date

10

When Would You Like Your Campaign to End* This field is required.

Date

11

Where Would You Like Your Ads To Run* This field is required.Please List Cities, Counties, States, or Specific Zip Codes

12

What is Your Monthly Budget* This field is required.Suggested Minimum is $5,000 /Monthly

13

Anything Else We Should Know?Feel Free to Ask A Question or Provide Additional Info That Will Help Us

14

Your Name* This field is required.

First Name

Last Name

15

Where Should We Send Your Media Plan?* This field is required.Must Use a Business Email Address - Free Email Accounts Not Accepted

example@example.com