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QUESTIONNAIRE
 
Company Name:  
Director/Business Owner:  
Address:
Phone Numbers:

Fax number:

ABN/ACN:
Briefly describe your product or service:
Are you currently or have you ever been contracted to any Media Buyer/Agency?

Yes
No

If so please describe eg. Agency Name/Length of contract/Campaign Details:

Do you currently have any Advertising Material eg. TVC/ Radio/ Print?
If so please specify: 

Do you have a proposed Budget? If so please specify dollar value:
When would you like to commence your campaign?
Who is your target market? eg. women 25+
What do you want to achieve? eg. Leads/increase sales/traffic flow

Would you be prepared to fill in a credit application form?

Yes
No

     
 
 
 
 
 
 
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