CONTACT INFORMATION - All
fields with an astricks (*) are required.
First Name
Last Name
Company Name
Address 1
Address 2
City
Email Address
Phone
PROJECT DESCRIPTION
Type of Advertising
Advertising Type
Television
Film
Radio
Corporate Video
Video Game
On-Hold Phone Music
Other
Music Type
Custom or Stock Music
Interest in Stock Music Quote
Interest in Custom Music Quote
Would Like Comparsion of Both
Audience Size
Estimate Size of Audience
Small City (Less than 10,000)
Mid Sized City (Less than 1,000,000)
Large City (More than 1,000,000)
State Wide Coverage
Regional US Coverage
National Coverage
Country Other Than USA
Other
Describe Target Market (Ex: Young audience,
Elderly, Etc.)
Describe the style of music (Ex: soft orchastral
music, mild rock, aka John Mayer, etc)
Deadline (Ex: Must have yesterday! Need in 2
weeks)
Content Length
Approximate length of music
Music Bumper
30 Seconds or less
60 Seconds or less
2 Minutes or less
5 Minutes or less
10 Minutes or Less
20 Minutes or Less
30 Minutes or Less
1 Hour or Less
Cannot be expressed in Time
Additional Comments
