Potential Client Name:   Current web-site URL:
Client Contact Person:   Contact Person Title:
Contact Person Phone:   Contact Person Fax:
Contact Person E-mail:    
Contact Person Address:   Item Requiring Publicity:
Consumer / Trade PR or both?: Consumer | Trade PR | Both
Features and benefits of item for PR?:   Point of Difference:
Unusual facts:   Previous PR history:
Do you have a Celebrity Spokesperson? If Yes, please tell us who they are:   Other information:
Do you have photographs available? Yes | No
Do you have broadcast quality video - which format?   Who is the company spokesperson?

Ideal timing for publicity coverage:

Approval process and timing:

PR fee budget:

Publicity stunt budget:

Celebrity Spokesperson Budget:

Media promotion budget:

Prize Pack for media plugs

Money Can’t Buy Prizes:

PR on-cost budget:

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