Advertising Order Form

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Business name

Full name

Email address

Billing email address for invoices (if different from above)

Telephone number

Advertising Campaign Selection: (please select one option)

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?

If yes, please give us the details

What style of voice would you like?

Would you like background music on your advert?

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