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Superform Spencer Gulf
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Name
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Email
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Pick Your Brand
Magic 105.9
5AU
5CS
Other
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Request Title
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Please provide a Title for your Request
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Please Select Which Board
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Admin (Leave Application)
Production (Audio Request)
Production (Air Check)
Production (Cancellation Request)
Production (Sponsorship Request)
Promo (Event Request)
Promo (Promotional Requests)
Promo (Prize Only Request)
Sales (Prospects)
OBSOLETE Web (Ad Request) Use New GPedia Digital Hub
OBSOLETE Web (Content Request) Use New GPedia Digital Hub
OBSOLETE Web (FB Branded Content) Use New GPedia Digital Hub
Web (Misc. Request)
Admin (Leave Application)
Production (Audio Request)
Production (Air Check)
Production (Cancellation Request)
Production (Sponsorship Request)
Promo (Event Request)
Promo (Promotional Requests)
Promo (Prize Only Request)
Sales (Prospects)
OBSOLETE Web (Ad Request) Use New GPedia Digital Hub
OBSOLETE Web (Content Request) Use New GPedia Digital Hub
OBSOLETE Web (FB Branded Content) Use New GPedia Digital Hub
Web (Misc. Request)
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Board Emails
This is used for testing purposes, please do not adjust the email below. Thanks!
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Please Provide Client Contact Info
Business Name
Client Contact Name
Client Phone Number
Client Email
Client Address
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Please Provide Clickthrough URL
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Please Provide Exact Facebook URL
Failure to provide client Facebook URL can result in delays
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Start Date and Time
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End Date and Time
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Who has granted approval for posting time?
General Manager
Promotions
Content Director
Sales Manager
Social Media Specialist
Digital Manager
Other
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Exact Posting Time FB
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Date Required By
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15
Cancellation Date
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16
Event Request Date and Preferred Time
*NOTE: Dates cannot conflict with scheduled AFL broadcasts
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17
Leave Start Date
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Leave End Date
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19
Back to Work Date
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20
FB Branded Content Details
Please enter Digital Revenue
Please enter Digital Boost Recover
What is the concept for the post?
Prize Summary and Value
Additional Info
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21
Artwork Request Details
Please describe the style and design
Additional Info
What is the revenue for this?
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22
Web Content Request Details - Concept and Mechanics
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Created with Sketch.
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Web Content Request Details - Exact Copy
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Created with Sketch.
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Web Content Request Details - Form Required?
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Web Content Request Details - Form Fields
Please provide all required form fields
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Created with Sketch.
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26
Web Misc Request - Describe Request
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Created with Sketch.
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27
Approved Promotions - Details
Recoveries Required
Digital Revenue
Digital Requirements
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28
Approved Promotions - Final Concept
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Created with Sketch.
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29
Digital Ad Request - What Type of Digital Ad?
*
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*Please Use Percentage Based Until Further Notice
Impression Based
Percentage Based
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30
Digital Ad Request - How Many Impressions
(X 1000) eg for 15000 impressions, enter "15"
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31
Digital Ad Request - Position
Leaderboard
MedRec ATF
MedRec BTF
Wedge ATF
Wedge BTF
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32
Digital Ad Request - Area
Use 'Other' for Show or Specific Page Sponsorship (Please indicate page(s))
Site (General)
Other
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33
Digital Ad Request - Add-ons
Production Fee
Double Density Fee
Basic Animation Fee
Advanced Animation Fee
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34
Digital Ad Request - Digital Revenue
Please enter the revenue for this Ad (Not including Addon Revenue)
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35
Digital Ad Request - Addon Revenue
Please enter the revenue for this Ad (Only Addon Revenue)
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36
Digital Ad Request - Creative Concept
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Created with Sketch.
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37
Audio Request - Details
Please Select
Key Number
AudioVault Number
Please Select
Please Select
Key Number
AudioVault Number
ID Type
ID Number
Special Instructions
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38
Campaign Placement
PowerFM Ballarat
3BA
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39
Contract Number
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40
Allocation
New Allocation
Extension to Existing
Demo
Live
Override Existing
Interview
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41
Is Copy Required?
YES
NO
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42
Script Approval
Client
Rep
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43
Script Approval Due Date
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44
Audio Approval
Client
Rep
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45
Audio Approval Due Date
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46
On Air Schedule
Station Name
Length
Starting Date
Ending Date
Rotation
Key Number Assigned
Cart
**1**
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
**2**
Row 1, Column 0
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Row 1, Column 5
Row 1, Column 6
**3**
Row 2, Column 0
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Row 2, Column 5
Row 2, Column 6
**4**
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
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Row 3, Column 4
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Row 3, Column 6
**5**
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Row 4, Column 5
Row 4, Column 6
**6**
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
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Row 5, Column 6
**7**
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Row 6, Column 5
Row 6, Column 6
**8**
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Row 7, Column 5
Row 7, Column 6
**9**
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
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Row 8, Column 6
**10**
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
Row 9, Column 5
Row 9, Column 6
**11**
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
Row 10, Column 5
Row 10, Column 6
**12**
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
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Row 11, Column 4
Row 11, Column 5
Row 11, Column 6
**13**
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
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Row 12, Column 4
Row 12, Column 5
Row 12, Column 6
**14**
Row 13, Column 0
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**15**
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Row 14, Column 6
**16**
Row 15, Column 0
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Row 15, Column 6
**17**
Row 16, Column 0
Row 16, Column 1
Row 16, Column 2
Row 16, Column 3
Row 16, Column 4
Row 16, Column 5
Row 16, Column 6
**18**
Row 17, Column 0
Row 17, Column 1
Row 17, Column 2
Row 17, Column 3
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Row 17, Column 5
Row 17, Column 6
**19**
Row 18, Column 0
Row 18, Column 1
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Row 18, Column 6
**20**
Row 19, Column 0
Row 19, Column 1
Row 19, Column 2
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Row 19, Column 6
**21**
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Row 20, Column 6
**22**
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Row 21, Column 6
**23**
Row 22, Column 0
Row 22, Column 1
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Row 22, Column 6
**24**
Row 23, Column 0
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Row 23, Column 4
Row 23, Column 5
Row 23, Column 6
**25**
Row 24, Column 0
Row 24, Column 1
Row 24, Column 2
Row 24, Column 3
Row 24, Column 4
Row 24, Column 5
Row 24, Column 6
**26**
Row 25, Column 0
Row 25, Column 1
Row 25, Column 2
Row 25, Column 3
Row 25, Column 4
Row 25, Column 5
Row 25, Column 6
**27**
Row 26, Column 0
Row 26, Column 1
Row 26, Column 2
Row 26, Column 3
Row 26, Column 4
Row 26, Column 5
Row 26, Column 6
**28**
Row 27, Column 0
Row 27, Column 1
Row 27, Column 2
Row 27, Column 3
Row 27, Column 4
Row 27, Column 5
Row 27, Column 6
**29**
Row 28, Column 0
Row 28, Column 1
Row 28, Column 2
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Row 28, Column 4
Row 28, Column 5
Row 28, Column 6
**30**
Row 29, Column 0
Row 29, Column 1
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Row 29, Column 5
Row 29, Column 6
Row 30, Column 0
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Row 30, Column 3
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Row 30, Column 5
Row 30, Column 6
**1**
**2**
**3**
**4**
**5**
**6**
**7**
**8**
**9**
**10**
**11**
**12**
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**14**
**15**
**16**
**17**
**18**
**19**
**20**
**21**
**22**
**23**
**24**
**25**
**26**
**27**
**28**
**29**
**30**
Station Name
Row 0, Column 0
Length
Row 0, Column 1
Starting Date
Row 0, Column 2
Ending Date
Row 0, Column 3
Rotation
Row 0, Column 4
Key Number Assigned
Row 0, Column 5
Cart
Row 0, Column 6
Station Name
Row 1, Column 0
Length
Row 1, Column 1
Starting Date
Row 1, Column 2
Ending Date
Row 1, Column 3
Rotation
Row 1, Column 4
Key Number Assigned
Row 1, Column 5
Cart
Row 1, Column 6
Station Name
Row 2, Column 0
Length
Row 2, Column 1
Starting Date
Row 2, Column 2
Ending Date
Row 2, Column 3
Rotation
Row 2, Column 4
Key Number Assigned
Row 2, Column 5
Cart
Row 2, Column 6
Station Name
Row 3, Column 0
Length
Row 3, Column 1
Starting Date
Row 3, Column 2
Ending Date
Row 3, Column 3
Rotation
Row 3, Column 4
Key Number Assigned
Row 3, Column 5
Cart
Row 3, Column 6
Station Name
Row 4, Column 0
Length
Row 4, Column 1
Starting Date
Row 4, Column 2
Ending Date
Row 4, Column 3
Rotation
Row 4, Column 4
Key Number Assigned
Row 4, Column 5
Cart
Row 4, Column 6
Station Name
Row 5, Column 0
Length
Row 5, Column 1
Starting Date
Row 5, Column 2
Ending Date
Row 5, Column 3
Rotation
Row 5, Column 4
Key Number Assigned
Row 5, Column 5
Cart
Row 5, Column 6
Station Name
Row 6, Column 0
Length
Row 6, Column 1
Starting Date
Row 6, Column 2
Ending Date
Row 6, Column 3
Rotation
Row 6, Column 4
Key Number Assigned
Row 6, Column 5
Cart
Row 6, Column 6
Station Name
Row 7, Column 0
Length
Row 7, Column 1
Starting Date
Row 7, Column 2
Ending Date
Row 7, Column 3
Rotation
Row 7, Column 4
Key Number Assigned
Row 7, Column 5
Cart
Row 7, Column 6
Station Name
Row 8, Column 0
Length
Row 8, Column 1
Starting Date
Row 8, Column 2
Ending Date
Row 8, Column 3
Rotation
Row 8, Column 4
Key Number Assigned
Row 8, Column 5
Cart
Row 8, Column 6
Station Name
Row 9, Column 0
Length
Row 9, Column 1
Starting Date
Row 9, Column 2
Ending Date
Row 9, Column 3
Rotation
Row 9, Column 4
Key Number Assigned
Row 9, Column 5
Cart
Row 9, Column 6
Station Name
Row 10, Column 0
Length
Row 10, Column 1
Starting Date
Row 10, Column 2
Ending Date
Row 10, Column 3
Rotation
Row 10, Column 4
Key Number Assigned
Row 10, Column 5
Cart
Row 10, Column 6
Station Name
Row 11, Column 0
Length
Row 11, Column 1
Starting Date
Row 11, Column 2
Ending Date
Row 11, Column 3
Rotation
Row 11, Column 4
Key Number Assigned
Row 11, Column 5
Cart
Row 11, Column 6
Station Name
Row 12, Column 0
Length
Row 12, Column 1
Starting Date
Row 12, Column 2
Ending Date
Row 12, Column 3
Rotation
Row 12, Column 4
Key Number Assigned
Row 12, Column 5
Cart
Row 12, Column 6
Station Name
Row 13, Column 0
Length
Row 13, Column 1
Starting Date
Row 13, Column 2
Ending Date
Row 13, Column 3
Rotation
Row 13, Column 4
Key Number Assigned
Row 13, Column 5
Cart
Row 13, Column 6
Station Name
Row 14, Column 0
Length
Row 14, Column 1
Starting Date
Row 14, Column 2
Ending Date
Row 14, Column 3
Rotation
Row 14, Column 4
Key Number Assigned
Row 14, Column 5
Cart
Row 14, Column 6
Station Name
Row 15, Column 0
Length
Row 15, Column 1
Starting Date
Row 15, Column 2
Ending Date
Row 15, Column 3
Rotation
Row 15, Column 4
Key Number Assigned
Row 15, Column 5
Cart
Row 15, Column 6
Station Name
Row 16, Column 0
Length
Row 16, Column 1
Starting Date
Row 16, Column 2
Ending Date
Row 16, Column 3
Rotation
Row 16, Column 4
Key Number Assigned
Row 16, Column 5
Cart
Row 16, Column 6
Station Name
Row 17, Column 0
Length
Row 17, Column 1
Starting Date
Row 17, Column 2
Ending Date
Row 17, Column 3
Rotation
Row 17, Column 4
Key Number Assigned
Row 17, Column 5
Cart
Row 17, Column 6
Station Name
Row 18, Column 0
Length
Row 18, Column 1
Starting Date
Row 18, Column 2
Ending Date
Row 18, Column 3
Rotation
Row 18, Column 4
Key Number Assigned
Row 18, Column 5
Cart
Row 18, Column 6
Station Name
Row 19, Column 0
Length
Row 19, Column 1
Starting Date
Row 19, Column 2
Ending Date
Row 19, Column 3
Rotation
Row 19, Column 4
Key Number Assigned
Row 19, Column 5
Cart
Row 19, Column 6
Station Name
Row 20, Column 0
Length
Row 20, Column 1
Starting Date
Row 20, Column 2
Ending Date
Row 20, Column 3
Rotation
Row 20, Column 4
Key Number Assigned
Row 20, Column 5
Cart
Row 20, Column 6
Station Name
Row 21, Column 0
Length
Row 21, Column 1
Starting Date
Row 21, Column 2
Ending Date
Row 21, Column 3
Rotation
Row 21, Column 4
Key Number Assigned
Row 21, Column 5
Cart
Row 21, Column 6
Station Name
Row 22, Column 0
Length
Row 22, Column 1
Starting Date
Row 22, Column 2
Ending Date
Row 22, Column 3
Rotation
Row 22, Column 4
Key Number Assigned
Row 22, Column 5
Cart
Row 22, Column 6
Station Name
Row 23, Column 0
Length
Row 23, Column 1
Starting Date
Row 23, Column 2
Ending Date
Row 23, Column 3
Rotation
Row 23, Column 4
Key Number Assigned
Row 23, Column 5
Cart
Row 23, Column 6
Station Name
Row 24, Column 0
Length
Row 24, Column 1
Starting Date
Row 24, Column 2
Ending Date
Row 24, Column 3
Rotation
Row 24, Column 4
Key Number Assigned
Row 24, Column 5
Cart
Row 24, Column 6
Station Name
Row 25, Column 0
Length
Row 25, Column 1
Starting Date
Row 25, Column 2
Ending Date
Row 25, Column 3
Rotation
Row 25, Column 4
Key Number Assigned
Row 25, Column 5
Cart
Row 25, Column 6
Station Name
Row 26, Column 0
Length
Row 26, Column 1
Starting Date
Row 26, Column 2
Ending Date
Row 26, Column 3
Rotation
Row 26, Column 4
Key Number Assigned
Row 26, Column 5
Cart
Row 26, Column 6
Station Name
Row 27, Column 0
Length
Row 27, Column 1
Starting Date
Row 27, Column 2
Ending Date
Row 27, Column 3
Rotation
Row 27, Column 4
Key Number Assigned
Row 27, Column 5
Cart
Row 27, Column 6
Station Name
Row 28, Column 0
Length
Row 28, Column 1
Starting Date
Row 28, Column 2
Ending Date
Row 28, Column 3
Rotation
Row 28, Column 4
Key Number Assigned
Row 28, Column 5
Cart
Row 28, Column 6
Station Name
Row 29, Column 0
Length
Row 29, Column 1
Starting Date
Row 29, Column 2
Ending Date
Row 29, Column 3
Rotation
Row 29, Column 4
Key Number Assigned
Row 29, Column 5
Cart
Row 29, Column 6
Station Name
Row 30, Column 0
Length
Row 30, Column 1
Starting Date
Row 30, Column 2
Ending Date
Row 30, Column 3
Rotation
Row 30, Column 4
Key Number Assigned
Row 30, Column 5
Cart
Row 30, Column 6
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Copy Details
WHO are we talking to? Describe the person - age, gender, wage, likes/dislikes of product
What is the offer, the benefit, or what's the advantage for choosing this product/business?
Where does the listener go? Phone/Web/Address/Landmark (best option)
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48
Copy Details 2
What is the Campaign trying to achieve
What is the main idea to be communicated?
Tell us something unique about your business
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49
Additional Information
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50
Cancellation Form - Details
Segment
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51
Event Request - Details 1
Reason for Event
Site Contact Name
Site Contact Number
Bump in Time
Bump out Time
Please Select
Phone Cross
Live Cross
Drive By
Pitstop
Outside Broadcast (3 Hour)
Outside Broadcast (4 Hour)
2 Hour Mini Event (Indoors)
2 Hour Mini Event (Outdoors)
4 Hour Street Event (Indoors)
4 Hour Street Event (Option 1)
4 Hour Street Event (Option 2)
4 Hour Street Event (Option 3)
Outside Broadcast (Indoors)
Outside Broadcast (Option 1)
Outside Broadcast (Option 2)
Outside Broadcast (Option 3)
Please Select
Please Select
Phone Cross
Live Cross
Drive By
Pitstop
Outside Broadcast (3 Hour)
Outside Broadcast (4 Hour)
2 Hour Mini Event (Indoors)
2 Hour Mini Event (Outdoors)
4 Hour Street Event (Indoors)
4 Hour Street Event (Option 1)
4 Hour Street Event (Option 2)
4 Hour Street Event (Option 3)
Outside Broadcast (Indoors)
Outside Broadcast (Option 1)
Outside Broadcast (Option 2)
Outside Broadcast (Option 3)
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Event Request - Details 2
Please Select
Yes
No
Please Select
Please Select
Yes
No
Access to Power
Please Select
Yes
No
Please Select
Please Select
Yes
No
Access to Toilets
Please Select
Yes
No
Please Select
Please Select
Yes
No
Site Visit Scheduled
Please Select
Yes
No
Please Select
Please Select
Yes
No
Are there any additional promotional requirements?
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53
Interview Details
Fill in if applicable
Interviewee(s)
Additional Info
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54
Event Request - Add-Ons
Announcer onsite for max 4 hours $TBQ
Announcer MC event for max 4 hours $TBQ
PROMO STAFF ADDITIONAL 2 HOURS - $TBQ
PROMO STAFF ADDITIONAL 3 HOURS - $TBQ
PROMO STAFF ADDITIONAL 4 HOURS - $TBQ
LIVE BAND - $TBQ
JUMPING CASTLE - $TBQ
FACE PAINTER - $TBQ
PETTING ZOO - $TBQ
COFFEE VAN - $TBQ
PHOTOBOOTH – $TBQ
SAUSAGE SIZZLE - $250
3 in 1 INFLATABLE GAMES - $TBQ
EVENT PHOTOGRAPHY – 2 HOURS - $TBQ
MAGICIANS - $TBQ
FAIRY FLOSS or POPCORN (400 serves) - $TBQ
FAIRY FLOSS or POPCORN (50 serves) - $TBQ
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55
Event Additional Information
Please include any other applicable information
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Event Request - Terms & Links
PLEASE NOTE - By submitting this event request you agree to following:-Client and Account Manager meet all guidelines laid out in the Event Handbook.-Account Managers read the brief sent by Promotions prior to the event. -Understanding that this is an Event Request and is subject to the approval process.-Please understand Geelong Broadcasters are not client event coordinators. We are present at events to give clients and their customers a positive brand experience. If clients do require event management they will need to seek assistance elsewhere. e.g. -- Security, catering, waiters, event stylists/decorators etc-Provide all information for Programming (interviews/content/crosses) by a minimum of 5 business days prior to the event-Meet with promotions and technicians a minimum of 2 weeks prior to the event for a site inspection-Liaise with Promotions directly in the lead up to the event-Understand the roles and responsibilities of the Promotions Team -- -including having a key contact available to liaise with the Team Leader at the event-Understanding that the Promotions Department are not event coordinators. -It is client responsibility to notify us if we require a Council Permit. i.e. -- does the event fall outside the business boundary?
I Agree to the Terms
I do not expect any other requests to be linked with this one
Sponsorship
Promotional Request
Prize Only
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Prize Only - Details
Prize Details
Client Expectations
Credit Line
Arrival Date
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Prize Only - Terms & Agree
I do not expect any other requests to be linked with this one
Sponsorship
Promotional Request
Event Request
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59
Promotional Concept Request - Details 1
Client Budget
Recoveries
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this a long term client we are doing value add for?
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this a new client we're trying to impress?
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Promotional Concept Request - Details 2
Client Goals
Ideas Discussed with Client
Please Select
Yes
No
Please Select
Please Select
Yes
No
Does this promo require a video? What are the details?
Available Prizes?
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61
Promotional Concept - Details 3
Is a Web Component Required?
I do not expect any other requests to be linked with this one
Sponsorship
Prize Only
Event Request
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62
Sponsorship - Details 1
Segment Sponsored
Please Select
New
Credit Update
Extension
Please Select
Please Select
New
Credit Update
Extension
Is this a renewal of a current sponsorship?
Credit/Promo Liner
Contact/General Information
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63
Sponsorship - Details 2
I do not expect any other requests to be linked with this one
Promotional Request
Prize Only
Event Request
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64
Prospect Form - Details
Address
Phone
Fax
Email
Website
Contact Person
Position
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65
Leave Application - Details
Please Select
Annual Leave
Personal Leave
Unpaid Carers Leave
Compassionate Leave
Long Service Leave
Leave Without Pay
Other
Please Select
Please Select
Annual Leave
Personal Leave
Unpaid Carers Leave
Compassionate Leave
Long Service Leave
Leave Without Pay
Other
if "Other" please describe
Number of working days missed
Number of Public Holidays (if applicable)
If less than 1 day, how many hours?
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66
Technical Request - Details
Please Select
Studio Complex
Main Office
Outdoor
Please Select
Please Select
Studio Complex
Main Office
Outdoor
Area Affected
Please Select
Broadcast Equipment
Computer Equipment
Building/Furniture/Fittings
Promotions Equipment
Other
Please Select
Please Select
Broadcast Equipment
Computer Equipment
Building/Furniture/Fittings
Promotions Equipment
Other
Type of Issue
Please Select
Critical
High
Medium
Low
Please Select
Please Select
Critical
High
Medium
Low
Priority
Details of Issue
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File Uploader
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