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Name
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Email
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Pick Your Brand
PowerFM Ballarat
3BA
Other
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Request Title
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Please provide a Title for your Request
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Please Select Which Board
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Cancellations
Creative
Event Request
OBSOLETE FB Branded Content Use New GPedia Digital Hub
Leave Application
Prize Only
Promotional Requests
Prospects
Sponsorships
OBSOLETE Web Content Request Use New GPedia Digital Hub
OBSOLETE Web Display Ad Request Use New GPedia Digital Hub
OBSOLETE Web Misc. Request Use New GPedia Digital Hub
Cancellations
Creative
Event Request
OBSOLETE FB Branded Content Use New GPedia Digital Hub
Leave Application
Prize Only
Promotional Requests
Prospects
Sponsorships
OBSOLETE Web Content Request Use New GPedia Digital Hub
OBSOLETE Web Display Ad Request Use New GPedia Digital Hub
OBSOLETE Web Misc. Request Use New GPedia Digital Hub
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Board Emails
This is used for testing purposes, please do not adjust the email below. Thanks!
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Please Provide Client Contact Info
Client Name
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Client Address
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Please Provide Clickthrough URL
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Please Provide Exact Facebook URL
Failure to provide client Facebook URL can result in delays
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Start Date and Time
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End Date and Time
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Who has granted approval for posting time?
General Manager
Promotions
Content Director
Sales Manager
Social Media Specialist
Digital Manager
Other
I will handle posting time myself
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Exact Posting Time FB
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Date Required By
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Cancellation Date
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Day
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16
Event Request Date and Preferred Time
*NOTE: Dates cannot conflict with scheduled AFL broadcasts
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17
Leave Start Date
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Day
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18
Leave End Date
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Day
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19
Back to Work Date
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Date
Year
Month
Day
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20
FB Branded Content Details
Please enter Digital Revenue
Please enter Digital Boost Recover
What is the concept for the post?
Prize Summary and Value
Additional Info
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21
Artwork Request Details
Please describe the style and design
Additional Info
What is the revenue for this?
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22
Web Content Request Details - Concept and Mechanics
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Web Content Request Details - Exact Copy
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Ok
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Web Content Request Details - Form Required?
YES
NO
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Web Content Request Details - Form Fields
Please provide all required form fields
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Web Misc Request - Describe Request
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Approved Promotions - Details
Recoveries Required
Digital Revenue
Digital Requirements
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28
Approved Promotions - Final Concept
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29
Digital Ad Request - What Type of Digital Ad?
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Impression Based
Sponsorship Based
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30
Digital Ad Request - How Many Impressions
(X 1000) eg for 15000 impressions, enter "15"
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31
Digital Ad Request - Position
Leaderboard
MedRec ATF
MedRec BTF
Wedge
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32
Digital Ad Request - Area
Home
News
Shows
Features
Community
Promotions
Other
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33
Digital Ad Request - Add-ons
Production Fee
Double Density Fee
Basic Animation Fee
Advanced Animation Fee
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34
Digital Ad Request - Digital Revenue
Please enter the revenue for this Ad
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35
Digital Ad Request - Creative Concept
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36
Audio Request - Details
Please Select
Key Number
AudioVault Number
Please Select
Please Select
Key Number
AudioVault Number
ID Type
ID Number
Special Instructions
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37
Campaign Placement
PowerFM Ballarat
3BA
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38
Contract Number
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39
Allocation
New Allocation
Extension to Existing
Demo
Live
Override Existing
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40
Is Creative Required?
YES
NO
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41
Script Approval
Client
Rep
Other
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42
Script Approval Due Date
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Date
Year
Month
Day
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Audio Approval
Client
Rep
Other
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Audio Approval Due Date
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Day
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45
On Air Schedule
Length
Start Date
End Date
Version/Rotation
Key Number
Cart
**1**
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
**2**
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
**3**
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
**4**
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
**5**
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
**6**
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
**7**
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Row 6, Column 5
**8**
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Row 7, Column 5
**9**
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
Row 8, Column 5
**10**
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
Row 9, Column 5
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
Row 10, Column 5
**1**
**2**
**3**
**4**
**5**
**6**
**7**
**8**
**9**
**10**
Length
Row 0, Column 0
Start Date
Row 0, Column 1
End Date
Row 0, Column 2
Version/Rotation
Row 0, Column 3
Key Number
Row 0, Column 4
Cart
Row 0, Column 5
Length
Row 1, Column 0
Start Date
Row 1, Column 1
End Date
Row 1, Column 2
Version/Rotation
Row 1, Column 3
Key Number
Row 1, Column 4
Cart
Row 1, Column 5
Length
Row 2, Column 0
Start Date
Row 2, Column 1
End Date
Row 2, Column 2
Version/Rotation
Row 2, Column 3
Key Number
Row 2, Column 4
Cart
Row 2, Column 5
Length
Row 3, Column 0
Start Date
Row 3, Column 1
End Date
Row 3, Column 2
Version/Rotation
Row 3, Column 3
Key Number
Row 3, Column 4
Cart
Row 3, Column 5
Length
Row 4, Column 0
Start Date
Row 4, Column 1
End Date
Row 4, Column 2
Version/Rotation
Row 4, Column 3
Key Number
Row 4, Column 4
Cart
Row 4, Column 5
Length
Row 5, Column 0
Start Date
Row 5, Column 1
End Date
Row 5, Column 2
Version/Rotation
Row 5, Column 3
Key Number
Row 5, Column 4
Cart
Row 5, Column 5
Length
Row 6, Column 0
Start Date
Row 6, Column 1
End Date
Row 6, Column 2
Version/Rotation
Row 6, Column 3
Key Number
Row 6, Column 4
Cart
Row 6, Column 5
Length
Row 7, Column 0
Start Date
Row 7, Column 1
End Date
Row 7, Column 2
Version/Rotation
Row 7, Column 3
Key Number
Row 7, Column 4
Cart
Row 7, Column 5
Length
Row 8, Column 0
Start Date
Row 8, Column 1
End Date
Row 8, Column 2
Version/Rotation
Row 8, Column 3
Key Number
Row 8, Column 4
Cart
Row 8, Column 5
Length
Row 9, Column 0
Start Date
Row 9, Column 1
End Date
Row 9, Column 2
Version/Rotation
Row 9, Column 3
Key Number
Row 9, Column 4
Cart
Row 9, Column 5
Length
Row 10, Column 0
Start Date
Row 10, Column 1
End Date
Row 10, Column 2
Version/Rotation
Row 10, Column 3
Key Number
Row 10, Column 4
Cart
Row 10, Column 5
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46
Creative Details
WHO are we talking to? Describe the person - age, gender, wage, likes/dislikes of product
What is the offer, the benefit, or what's the advantage for choosing this product/business?
Where does the listener go? Phone/Web/Address/Landmark (best option)
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47
Creative Details 2
What is the Campaign trying to achieve
What is the main idea to be communicated?
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48
Additional Information
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49
Cancellation Form - Details
Segment
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50
Event Request - Details 1
Reason for Event
Site Contact Name
Site Contact Number
Bump in Time
Bump out Time
Please Select
Phone Cross
Live Cross
Drive By
Pitstop
Outside Broadcast (3 Hour)
Outside Broadcast (4 Hour)
2 Hour Mini Event (Indoors)
2 Hour Mini Event (Outdoors)
4 Hour Street Event (Indoors)
4 Hour Street Event (Option 1)
4 Hour Street Event (Option 2)
4 Hour Street Event (Option 3)
Outside Broadcast (Indoors)
Outside Broadcast (Option 1)
Outside Broadcast (Option 2)
Outside Broadcast (Option 3)
Please Select
Please Select
Phone Cross
Live Cross
Drive By
Pitstop
Outside Broadcast (3 Hour)
Outside Broadcast (4 Hour)
2 Hour Mini Event (Indoors)
2 Hour Mini Event (Outdoors)
4 Hour Street Event (Indoors)
4 Hour Street Event (Option 1)
4 Hour Street Event (Option 2)
4 Hour Street Event (Option 3)
Outside Broadcast (Indoors)
Outside Broadcast (Option 1)
Outside Broadcast (Option 2)
Outside Broadcast (Option 3)
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51
Event Request - Details 2
Please Select
Yes
No
Please Select
Please Select
Yes
No
Access to Power
Please Select
Yes
No
Please Select
Please Select
Yes
No
Access to Toilets
Please Select
Yes
No
Please Select
Please Select
Yes
No
Site Visit Scheduled
Please Select
Yes
No
Please Select
Please Select
Yes
No
Are there any additional promotional requirements?
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52
Interview Details
Fill in if applicable
Interviewee(s)
Additional Info
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53
Event Request - Add-Ons
Announcer onsite for max 4 hours $TBQ
Announcer MC event for max 4 hours $TBQ
PROMO STAFF ADDITIONAL 2 HOURS - $TBQ
PROMO STAFF ADDITIONAL 3 HOURS - $TBQ
PROMO STAFF ADDITIONAL 4 HOURS - $TBQ
LIVE BAND - $TBQ
JUMPING CASTLE - $TBQ
FACE PAINTER - $TBQ
PETTING ZOO - $TBQ
COFFEE VAN - $TBQ
PHOTOBOOTH – $TBQ
SAUSAGE SIZZLE - $250
3 in 1 INFLATABLE GAMES - $TBQ
EVENT PHOTOGRAPHY – 2 HOURS - $TBQ
MAGICIANS - $TBQ
FAIRY FLOSS or POPCORN (400 serves) - $TBQ
FAIRY FLOSS or POPCORN (50 serves) - $TBQ
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54
Event Additional Information
Please include any other applicable information
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55
Event Request - Terms & Links
PLEASE NOTE - By submitting this event request you agree to following:-Client and Account Manager meet all guidelines laid out in the Event Handbook.-Account Managers read the brief sent by Promotions prior to the event. -Understanding that this is an Event Request and is subject to the approval process.-Please understand Geelong Broadcasters are not client event coordinators. We are present at events to give clients and their customers a positive brand experience. If clients do require event management they will need to seek assistance elsewhere. e.g. -- Security, catering, waiters, event stylists/decorators etc-Provide all information for Programming (interviews/content/crosses) by a minimum of 5 business days prior to the event-Meet with promotions and technicians a minimum of 2 weeks prior to the event for a site inspection-Liaise with Promotions directly in the lead up to the event-Understand the roles and responsibilities of the Promotions Team -- -including having a key contact available to liaise with the Team Leader at the event-Understanding that the Promotions Department are not event coordinators. -It is client responsibility to notify us if we require a Council Permit. i.e. -- does the event fall outside the business boundary?
I Agree to the Terms
I do not expect any other requests to be linked with this one
Sponsorship
Promotional Request
Prize Only
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56
Prize Only - Details
Prize Details
Client Expectations
Credit Line
Arrival Date
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57
Prize Only - Terms & Agree
I do not expect any other requests to be linked with this one
Sponsorship
Promotional Request
Event Request
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58
Promotional Concept Request - Details 1
Client Budget
Recoveries
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this a long term client we are doing value add for?
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this a new client we're trying to impress?
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59
Promotional Concept Request - Details 2
Client Goals
Ideas Discussed with Client
Please Select
Yes
No
Please Select
Please Select
Yes
No
Does this promo require a video? What are the details?
Available Prizes?
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60
Promotional Concept - Details 3
Is a Web Component Required?
I do not expect any other requests to be linked with this one
Sponsorship
Prize Only
Event Request
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61
Sponsorship - Details 1
Segment Sponsored
Please Select
New
Credit Update
Extension
Please Select
Please Select
New
Credit Update
Extension
Is this a renewal of a current sponsorship?
Credit/Promo Liner
Contact/General Information
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62
Sponsorship - Details 2
I do not expect any other requests to be linked with this one
Promotional Request
Prize Only
Event Request
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63
Prospect Form - Details
Address
Phone
Fax
Email
Website
Contact Person
Position
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64
Leave Application - Details
Please Select
Annual Leave
Personal Leave
Unpaid Carers Leave
Compassionate Leave
Long Service Leave
Leave Without Pay
Other
Please Select
Please Select
Annual Leave
Personal Leave
Unpaid Carers Leave
Compassionate Leave
Long Service Leave
Leave Without Pay
Other
if "Other" please describe
Number of working days missed
Number of Public Holidays (if applicable)
If less than 1 day, how many hours?
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65
Technical Request - Details
Please Select
Studio Complex
Main Office
Outdoor
Please Select
Please Select
Studio Complex
Main Office
Outdoor
Area Affected
Please Select
Broadcast Equipment
Computer Equipment
Building/Furniture/Fittings
Promotions Equipment
Other
Please Select
Please Select
Broadcast Equipment
Computer Equipment
Building/Furniture/Fittings
Promotions Equipment
Other
Type of Issue
Please Select
Critical
High
Medium
Low
Please Select
Please Select
Critical
High
Medium
Low
Priority
Details of Issue
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File Uploader
Drag and drop files here
Select files to upload
Max. file size
: 15.1MB
Browse Files
Upload files here!
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