Mid-West Family Broadcast Order Form

New Order

New Order

Listing Code

Billing Code / Market

Market Strategist

Market Strategist Name

Market Strategist Email

Product
Montage Product 1
Two (2) videos up to :30 Montage Product 2
Four (4) videos up to :30 Full Motion Product 3
One (1) 4-Hour Shoot, Four (4) videos up to :30 Full Motion Product 4
One (1) 4-Hour Shoot, Six (6) videos up to :30

Add-Ons
Aerial Add-On

Security

Passcode
Advertiser

Advertiser Details

Business Name

Address

City

State

Postal Code

Phone Number

Website

Facebook

Advertiser Contact

First Name

Last Name

Phone Number

Email Address
Video

Production Notes

Production Notes

Music & Voice Over

Music

Country
Easy
High Energy
Hip Hop
Jazzy

New Age
Positive
Rock
No Preference

Voice Over

Male
Female
No Preference

Script

Spectrio Provided Script

Client Provided Script

Script Text

Assets

Is Advertiser Providing Assets

No Yes

Assets Url
Bundle

Bundle Details