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Sales Promotion Application Form Premium
DTI premium sales promotion application form
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DEPARTMENT OF TRADE AND INDUSTRY
FAIR TRADE ENFORCEMENT BUREAU
SALES PROMOTION APPLICATION FORM
PREMIUM
__________________________
DATE
__________________________________________________________
PROMO TITLE
( ) 1. NAME OF SPONSOR: __________
•
•
•
•
ADDRESS: _______________
TELEPHONE NO:
______________
AUTHORIZED REPRESENTATIVE: ___________
DESIGNATION: ___________
( ) 2. NAME OF ADVERTISING AGENCY: _____________
•
•
•
•
ADDRESS: _______________
TELEPHONE NO: _________
AUTHORIZED REPRESENTATIVE: __________
DESIGNATION: ___________
( ) 3. PROMO PERIOD: ______
( ) 4. COVERAGE:
GMA
NATIONWIDE
( ) 5. LIST OF PARTICIPATING OUTLETS/BRANCHES:
OTHERS: _______________________
______________
( ) 6. PRODUCTS/SERVICES PROMOTED:
BRAND
________________________
________________________
________________________
________________________
MODEL, SPECIFICATIONS, SIZES (in metric, enclose
English size in parenthesis)
___________________________________________
___________________________________________
___________________________________________
___________________________________________
( ) 7. PURCHASE AMOUNT REQUIRED: _______
( ) 8. WHO ARE QUALIFIED TO AVAIL?: ______
( ) 9. HOW TO AVAIL: _______
________
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( ) 10. BUNDLED ITEMS
LIST OF ITEMS
Bundle 1
_____________________
_____________________
_____________________
COST OF EACH
SAVINGS/PREMIUM
____________
____________
____________
TOTAL: ____________
Bundle 2
_____________________
_____________________
_____________________
PAY ONLY
_____________
_____________
_____________
_____________
____________
____________
____________
TOTAL: ____________
( ) 11. COST OF FREE PRODUCT: ____________
( ) 12. AMOUNT TO BE PAID: ________
( ) 13. PREMIUM/FREE ITEM SPECIFICATIONS AND PROJECTED COST:
ITEM, BRAND, MODEL,
SIZES IN METRIC
(A)
________________________________
________________________________
________________________________
________________________________
________________________________
TOTAL PER OUTLET
TOTAL FOR ALL OUTLETS
PROJECTED
QUANTITY
(B)
___________
___________
___________
___________
___________
COST OF EACH
(C)
___________
___________
___________
___________
___________
___________
___________
TOTAL COST
(B) X (C)
____________
____________
____________
____________
____________
____________
____________
( ) TRIP, SCHOLARSHIP & CELLPHONE PRIZES:
TRANSFERABLE
CONVERTIBLE TO CASH
CASH CONVERSION VALUE:
______
( ) 14. WHO SHALL PAY 20% TAX FOR PRIZES EXCEEDING P10, 000.00: ______________
( ) 15. PERIOD OF REDEMPTION/CLAIM PERIOD: ___________________________________________
( ) 16. COMPLETE ADDRESS OF REDEMPTION CENTER:
For GMA winners: _______________________________________________________________
For Provincial winners: ___________________________________________________________
( ) 17. HOW TO CLAIM PREMIUM/PRIZES:
______________________________________________________________________________
( ) 18. ATTACHMENTS
( ) COMPLETE MECHANICS
( ) PROMO PARTICULARS (Schedule of payment amortization for installment offers)
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( ) MEDIA UTILIZED :
( ) RADIO AD (Audio Script)
( ) POSTER (Proof of Ad Artwork)
( ) TV/CINEMA AD (Story board)
( ) STREAMER (Proof of Artwork)
( ) WEB-BASED ADS (Screenshots of online ads) ( ) PRINT AD (compre)
( ) EMAIL-BASED ADS (Email transcript)
( ) MAILERS (compre)
( ) TEXT-BASED ADS (Text transcript)
( ) FLYERS (compre)
( ) OTHERS: __________________________________________________________
( ) REGISTRATION REQUIREMENTS :
( ) For first-time applicants: Business/Mayor’s Permit, Business Name Registration
Certificate/SEC Registration Certificate, Articles of Incorporation, By-laws
( ) Certificate of product registration
( ) NTC registration/approval
( ) Certificate of Accreditation of Service and Repair Shop
( ) Product Standard Certificate
( ) HLURB issued License
( ) MEMORANDUM OF AGREEMENT/CONFORME WITH PARTICIPATING OUTLETS/
REDEMPTION CENTERS / PROMO PERTNERS
( ) HOUSE AND LOT PRIZE : title, blueprint, specifications, model, location plan, cost and
area of house, cost and area of lot
( ) APPRAISED VALUE OF JEWELRY SIGNED BY LICENSED GEMOLOGIST
UNDERTAKING
I/We hereby understand and agree that:
1. DTI-FTEB SPD shall act on this application within fifteen (15) days from receipt of complete
documents.
2. If I/We do not receive any communication from DTI FTEB - SPD after submission of complete
documents/requirements within the prescribed fifteen (15) days, the above application shall
be deemed approved. However, such presumption of approval shall not absolve us from
violations other than our lack of permit from your Office.
Authorized Representative of:
SPONSOR
ADVERTISING AGENCY
__________________________________
SIGNATURE
_______________________________
SIGNATURE
__________________________________
PRINTED NAME
_________________________________
PRINTED NAME
___________________________________
DATE
________________________________
DATE
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CPG-FTEB-SPD-QF-01B
Rev00 / 10/03/2016
