WSPK Promo Request FormWSPK APPEARANCE & PROMOTIONAL REQUEST FORM Please confirm with WSPK Promotions Dept. that this has been received. K104.7 Promo Request (Internal) Today's Date* MM slash DD slash YYYY Account Executive* First Last Date Needed By* MM slash DD slash YYYY Date of Promotion* MM slash DD slash YYYY Promotion Start Time* : Hours Minutes AM PM AM/PM Promotion End Time* : Hours Minutes AM PM AM/PM Flight Dates Expenditure Client* On-Site Contact Name & Title* Address (of Appearance, not Corporate Office)* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Client Phone*Client Email* Promotional Idea:Copy PointsCleint Goals & Expectations:Will client provide On-Air Giveaways tied to the event? If so, what is it? Will client provide "Enter to Win" prize during event? If so, what is it? Choose Appearance Type* Street Team ONLY (2 Hour Appearance) Talent and Street Team (2 Hour Appearance) Custom Appearance (Must Discuss) Paid By Client*YesNoCall-Ins Scheduled?*YesNoIf yes, how many? Recap Needed?*YesNoAir-Checks Needed?*YesNoPictures of Event needed?*YesNoWas a propsal already submitted to client? If yes, please email to Jimmy.*YesNoHave you already set up a meeting with Programming and the applicable departments?*Yes, I have already met with Programming and am all set with all components of my promotionNot yet, I will be setting up a meeting with Programming after I complete this formNo meeting necessary.Any artwork/web content/interactive needed? Please describe: