RADIO DATA (SIXTY-SECOND COMMERCIALS):
TM
YOUR NAME:
POSITION:
PHONE:
 -
 -
E-MAIL:
STORE NAME:
YRS. IN BUSINESS:
YOUR FREE COSEC SALE PROPOSAL QUESTIONAIRE

By completing this form, you are in no way obligated to book
a promotion with Cosec, and there is no charge for a proposal.

Your data will be kept confidential. Questions? Call Toll Free at 1-800-227-6152.
SALES AREA (Sq. Ft.):
TOP 6 NAME BRANDS:
NEWSPAPER DATA (check all that apply):
 DAILY?
WEEKLY?
OTHER (DESCRIBE):
COST OF FULL PAGE:   DAILY--$
SUNDAY--$
WEEKLY--$
COST (IF ANY) OF:        ONE COLOR--$
FOUR COLOR--$ 
TOP RADIO STATION:DRIVE TIME--$
OTHER TIMES--$
per spot 
per spot 
SECOND STATION:   DRIVE TIME--$
OTHER TIMES--$
per spot 
per spot 
Main Menu
AdPac! COMPONENTSAdPac! PROCESSHOMEEVERY DOOR DIRECT MAIL
WHO USES US?ORDER TAGS AND SIGNSSALESTRAININGRequest Your FREE Proposal
Current OffersEvent Agreement

LOCATION:
AVERAGE MONTHLY VOLUME:
MULTIPLE LOCATIONS? (Please list names and locations.)
MON
FRIDAY
SATURDAY
EVENING
MORNING
SUNDAY
WED
TUES
THURS