Client Information Page - Spudman Media

Spudman is looking forward to partnering with you on your upcoming marketing plan. In our continued commitment to provide high-quality customer service, we want to ensure your client record is accurate and complete. Please provide the following information to ensure the accuracy of your account.

Company Name(Required)

If you are an agency working on behalf of the client, please provide client name here and agency information below.

How should the company be listed in the ad index (if different than above)?

Name of person completing this form(Required)

First Last

Email address(Required)

Your contact email address where we will send communications about your contract and any other opportunities that might be a good fit for your company.

Title(Required)

Preferred Phone Number(Required)

Mailing Address(Required)

This is where we will have your print comp copy of the publication sent. If you need any additional comp copies, please note that in the comp copies section below.

Street Address City State / Province / Region ZIP / Postal Code Country

Billing Address

Same as Above

Street Address City State / Province / Region ZIP / Postal Code Country

Are there any other names that your company may be sending correspondence as or another company name listed on payments?

For example, parent company or DBA? If yes, please list those below.

Are you an agency, representing the company listed above?(Required)

Yes

Agency Name(Required)

Agency Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Billing Contact(Required)

Please provide the details for the billing contact at your company.

Name Email Address Phone

Production Contact(Required)

Please provide the details for the production contact at your company.

Name Email Address Phone

Is it OK to contact you directly if we have any issues getting in touch with the production contact listed above?(Required)

Yes

Editorial Contact (if applicable)

Please provide the details for the editorial contact at your company.

Name Email Address Phone

Additional Contact

If there is anyone else at your company who should receive sales and marketing communications from Spudman, please provide their name and email address(es) below.

Digital Comp Copies

If there is anyone else at your company who should receive a digital comp copy from Spudman, please provide their name and email address(es) below.

Print Comp Copies

If there is anyone else at your company who should receive a print comp copy from Spudman, please provide their name and mailing address(es) below.

Do you have any specific analytics/metrics needs following completion of your program?(Required)

Yes

Please provide the specific details of your analytics and metrics needs, as well as the deadlines to receive them.(Required)

We will follow up with any questions we have about your specific request to ensure we provide the proper metrics.

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Great American Media Services
75 Applewood Drive, Suite A
P.O. Box 128
Sparta, Michigan 49345 U.S.A

Phone: 616-520-2137

How Can We Help?

Reach out to us today and one of our team members will get in touch with you.