Date

Invoice To

Address

Attention

Phone Number

Fax

E-mail address

*REQUIRED

P.O.#

License To

Address

Attention

Phone Number

Fax

E-mail address

PRODUCTION INFO.

Product

Production Title/URL

Air Date(s)

Length

Length:   min.   sec.

Ad Agency

ISCI#

Station(s)

1st Line of Copy

Misc./Comments

TRACKS

CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  
CD# ........ TRACK# ........ # OF USE  

CLEARANCE CATEGORIES

Commercial........ Infomercial........ Promo........ PSA
Free/Basic Cable/DBS TV
Premium Cable/DBS TV
All TV Rights
Radio

TERRITORY

Local..................................... City............ State
Regional............................... City............ State
National (US/Canada)........ Worldwide
Tag # .................................... Internet (banners)

NON-BROADCAST

Corporate/Industrial

Up to 1000........ Up to 10,000..... Over 10,000

Promotion

Up to 10,000..... Over 10,000

Promotion for Sale

Up to 10,000..... Up to 25,000..... Over 50,000..... Unlimited

Music On-hold

Yes..... No

Internet/Website

Yes..... No

THEATRICAL

Trailor or Commercial............................... Film Festival
Home Video (unlimited copies).................. Television (all TV rights)
All Rights.................................................. Film
Film Festival only....... .............................. Theatrical Exhibition only
Film All Rights
Theme Parks/Stadium..................................... Location #
Museum/Non-Profit Theatrical........................ Location #

PRODUCTION BLANKET

A ................. B................. C
D .................. Quote

MINUTES(s)

1 to 10.......... 10 to 15...... 15+ to 20
20+ to 30...... 30+ to 45.... 45+ to 60
60+ to 90...... 90+ to 120.. Over 120