General Information:

AFM Contract #:

Air Date Start:     Air Date End:

Agency Name:

Client:

Product:

Commercial ID Number:

Commercial Title:

Client PO Number:

Client Job Number:

Estimate Number:

Notice of First Air Date (Initial Use)

13 Weeks Use

Internet (made for initial use on TV)

Internet (made for Internet only)

Regional Commercial Announcements

Local Commercial Announcements for National Advertisers

Local Commercial Announcements for Local Advertisers

Dealer

Foreign

Non-Broadcast Use

Dub                AFM Contract #:

Conversion    AFM Contract #:

Identify which television or radio commercial the dub or conversion is from:

Title:

ID:

 

Notes:

 

Submitted and Authorized by: