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CO-OP ADVERTISING PRE-APPROVAL REQUEST FORM

All advertising co-op funds require pre-approval. All dealer created advertising requires prior approval of creative to qualify for co-op. Creative supplied by Eastern Marketing does not need additional approval unless modified by others. Retain this signed form and submit with your claim.

Request Date:

Dealer Name:

Dealer Address:

City:

State:

Zip Code:

SELECT BRANDS

Bertazzoni

Blomberg

Dealer Contact:

Contact Email:

Phone Number:

District Sales Manager Email:

TOTAL COST OF AD:

CO-OP REQUESTED:

Description of the requested advertising co-op:

Name of Periodical / Media:

URL:

Digital

Both

Start Date

End Date

Size of Ad:

Height:

Width:

Bleed:

Does this ad repeat?

Yes

# Repeats:

Frequency:

IF YOU REQUIRE CREATIVE SUPPORT FILL IN THE SECTION BELOW

Dealer will handle creative and submit for approval but needs: (describe below, logos, images, etc.)

Dealer requests EMC handle creative

Submission Date:

Height:

Width:

Bleed:

Safe Area:

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CO-OP ADVERTISING PRE-APPROVAL REQUEST FORM

Description of the requested advertising co-op:

Size of Ad:

IF YOU REQUIRE CREATIVE SUPPORT FILL IN THE SECTION BELOW

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