exchange4media Golden Mikes 2011: Radio Advertising Awards

Entry Form

Fill this form for each entry separately.
Supporting written document should be no longer than one side of an A4 size paper in no less than 10-point size Arial font.
Audio should be in mp3 format and should be limited to the duration specified for each category of awards.
Video, if any, should be MPG2 file format ONLY and be no longer than 2 minutes duration.

Select Category

Entry Name

Award Sub Category Code:*

Contact Details

Name of Entrant Company

Company Activity

Address

City

Pin Code

Website

Contact Person 1

Name

Designation

Telephone number: Mobile/ Landline

Contact Person 2

Name

Designation

Telephone number: Mobie/ Landline

ENTRY DETAILS

Client/Brand:

Activity/Script/Campaign Title

Date of Start of Activity

CLIENT DETAILS

Address

Contact Person

Telephone number: Mobile/ Landline

Material being uploaded

HyperLink

Please see instructions at the top of this form for guidelines regarding file formats and file size etc.

PAYMENT DETAILS

Amount

Cheque/Demand Draft No.

Date

Bank

Branch

Payable at Delhi

Yes No