SECTION A - ABOUT YOU

Name:
Agency:
Phone #:
Cell #:

SECTION B - ABOUT THE AD

Air Dates: (billing Mon. - Sun.)

Begin Date (mm/dd/yyyy):
End Date (mm/dd/yyyy):	or
Run Until Notified:	then later, resubmit with a Pull Date (mm/dd/yyyy):
Address:
New Listing?	Yes No, re-run
Length of ad:	15 second listing ad (1 or 2 pictures) 30 second Showcase Home (up to 5 pictures)
Ad to be run in:	Homes (appropriate price range) Business and Investments Farms and Farmettes Building Lots and Land Construction and Improvements Rental Properties Vacation Properties
Script (or Special Instructions):	(Suggested: 15 second listing ad 20-25 words; 30 second Showcase Home 40-45 words. We may edit for time.)

SECTION C - ON THE SCREEN
Price:
MRIS #:

SECTION D - OPTIONAL ON SCREEN
Community:
Listing Status (top right words):	New Price Reduced Sold Under Contract Other
More Information (bottom words):	OR
Open House:
Open House Dates:
Open House Time:	to