Agency Name:

Client:

Product:

Commercial ID Number:

Commercial Title:

Client PO Number:

Client Job Number:

Estimate Number:

TV Wildspot Air  Date Start:     Air Date End:

13 Week Cycle

Initial Use:   NY   CH  LA   Units

Add:   NY   CH   LA   Units

 

Apply Session Fee

Apply Holding Fee

 

Notes

 

Submitted and Authorized by:

 

If this is for a new, non-existent spot, you must submit a TELEVISION ESTIMATE REQUEST FORM in addition to this form to complete your estimate.