DX Virtual TV — Advertising Order Request

DX Virtual TV — Advertising Order Request

Step 1: Complete and submit your order information. Step 2: Continue to secure payment. Production and scheduling begin after payment is received and verified.
Full Name

First NameLast Name
Contact Information
Business/Organization Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website
Billing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Package Selection
Select Your Package
How many months would you like to advertise?

Other
Payment
Payment will be completed after your order is submitted.
Stripe payment receipt email address or payment confirmation reference
Required Acknowledgements
I am authorized to request advertising for this business and authorize DX Virtual TV to contact me about this request.
I own or have permission to use all materials supplied.
I understand that payment for my selected tier and campaign duration must be received and verified before DX Virtual TV processes, approves, or schedules this request. Campaign scope and timing remain subject to confirmation, and no number of viewers, leads, or sales is guaranteed.
Creative Brief
What are you promoting?

Other
Offer/Title and Description
Who is your target audience?
Key Message
Desired Viewer Action and Destination URL or Contact Details
Exact wording or claims to include (optional)
Brand colors and/or name pronunciation (optional)
Upload logo, book cover, or images (PNG, JPG, PDF). You may also supply these later.

Cancelof
Share a link to existing video or assets (optional)
Additional notes (optional)
Timing
Preferred campaign start date (optional)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Event or registration deadline (optional)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

DX Virtual TV — Advertising Order Request

Contact Information

Package Selection

Payment

Required Acknowledgements

Creative Brief

Timing