Name (contact person)

Street Address

Postal Address

City

State

Country

PostCode

Phone

FAX

Email address

Business Name

Business Activities?

What is your core business (bread and butter)?

Particular aspects of your business you desire to promote?

Points of difference (services, stock, staff, etc)?

Why do customers buy from you (price, quality, location,etc)?

Who is your competition and how do they advertise?

What makes your business more attractive to your clients ?

Demographic (current and desired)?

Previous Experience with jingles?

(if yes to above Please provide details ....)

Broadcast regions?

Is there anything you specifically don't want/like?

Does your business have a specific slogan that needs to be incorporated in the Jingle or do you need us to develop this for you (Attracts concept and development fee. One of our representatives will explain this in further detail)?

Please develop a slogan for me.

Please use my current slogan

Current slogan?

Do you have any personal preference for musical styles (final decision on musical style should be left to the objectivity of producers)?

Rock

Hard Rock

Soft Rock

Country Rock

Ballad

Blues

Jazz

Rap

Dance

In your face

Punchy

Soothing

Dignified

Pretty

Energetic

Preference for male or female singers?

Male

Female

Either

Jingle Length Required?

15 seconds

30 seconds

45 seconds

Other

Do you require a voice over package?

Yes

No

Are you planning to expand your business to other regions?

Yes

No

if so, Where, When ?

Are you currently using a message on hold system?

Yes

No

Are you satisfied with your current advertising profile?

Yes

No

Delivery Instructions?