Residual Report Form

 

Date:

Advice/PO #:

Email:*

 

Client:

Product:

Est. #:

 

Commercial ID #:

Lift Version #:

 

Title:

 
  • TV: Tv
  • Radio: Radio
  • Cable: Cable
  • Canadian: Canadian

Other: Other

 
 

Widspot CycleWildspot Cycle:

8 WK: 8 WK16 WK: 16 WK

InitialNY:NYLA:LACHI:CHIUnits:

UpgradeNY:NYLA:LACHI:CHIUnits:

TotalNY:NYLA:LACHI:CHIUnits:

Dealer CycleDealer Cycle:

A: AA + NY: A + NYRadio: Radio

B: BB + NY: B + NY

Cable CycleCable Cycle:

Units: UnitsUpgrade From: To:

Local Cable SubscribersLocal Cable Subscribers:

Late Night CycleLate Night Cycle:

Network(s):

Class A CycleClass A Cycle:

Pax CyclePAX Cycle:

Holding Fee CycleHolding Fee Cycle:

Music CycleMusic Cycle:

8 WK: 8 WK16 WK: 16 WK

AFM Contract(s): TRK:

Check One:Music Reuse: Music ReuseNew Use: New Use

Dub Fee:Dub FeeDub Shorter to Longer?: Dub Shorter to Longer

First Music Use:

Foreign Use Area:

12 MOS: 12 MOS24 MOS: 24 MOS

Local Program CycleLocal Program Cycle:

  • B:B
  • B + NY:B + NY
  • C:C
 

Radio CycleRadio Cycle:

Network Use

  • 1 WK:1 WK
  • 4 WK:4 WK
  • 8 WK:8 WK
  • 13 WK:13 WK
  • 26 WK:26 WK
  • 39 WK:39 WK
 

Regional Network

Majors: NYNone: LA

 

Local Radio Program:

Other Use CycleOther Use Cycle:

Specify Usage:

 
 

Use #

Date

Program Name

LFT?

Network

 

Apply Session: Apply SessionApply Holding Fee: Apply Holding Fee

Agency Name:

Authorized Signature:

Special Comments:

 

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