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Advertising Order Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Business name
*
Full name
*
Email address
*
Billing email address for invoices (if different from above)
Telephone number
*
Advertising Campaign Selection: (please select one option)
*
Pack 1: Power Impact one month only £150.00 24 plays a day at the top of every hour
Pack 2: The Local Reach Premium 24 plays a week £70.00 per month with a min of 6 month agreement
Pack 3: The Local Reach Standard 10 plays a week £40.00 per month with a min of 6 month agreement
Briefly describe the product or service you are advertising using bullet points
*
Do you have any existing marketing materials (e.g., slogans) you would like us to incorporate into your advert?
*
Yes
No
If yes, please give us the details
What style of voice would you like?
*
Female
Male
Child
Other
Would you like background music on your advert?
*
Yes
No
Please enter the campaign start date (DD/MM/YYYY)
*
Please enter the campaign end date (DD/MM/YYYY)
*
Please confirm that you agree with the following statements
*
I have read and understood the terms and conditions of the advertising campaign selected above
I agree to pay the associated fees for the chosen advertising campaign package
Please enter your signature
*
Please enter the date you are completing this form (DD/MM/YYYY)
*
Phone
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