

Spot Title
Advertiser Authorized Signer
Insertion Program Block # Requested Position Requested
Start Date End Date Shoot Date Requested
Script to be provided by
Story Board Completed by ______________________________________________ Date_______________________
Script Completed _____________________ Voice over scheduled ______________ Recorded ________________
Shoot Scheduled with ________________________________________________ Confirmed by_________________
Contract Executed __________ Payment recv’d ___________ Insertions Authorized_________________________
Shoot completed ____________ Edit Completed _____________ Client Approval _____________________________
1st Run ______________________Conf___________ Pulled _____________________________Conf______________
Production Lead
Story Board
Page 1 of ________
Scene _________

Video Still Annim __________
Script ____________________________________ ____________________________________ ____________________________________ ____________________________________
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Scene _________

Video Still Annim __________
Script ____________________________________ ____________________________________ ____________________________________ ____________________________________
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Scene _________

Video Still Annim __________
Script ____________________________________ ____________________________________ ____________________________________ ____________________________________
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Scene _________

Video Still Annim __________
Script ____________________________________ ____________________________________ ____________________________________ ____________________________________
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