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  1. MEDIA MATERIALS CHECKLIST
  2.  
  3. Inventor Name: ______________________________ Date:________________
  4. Product/Project Name:  _____________________________________________
  5.  
  6. MEDIA GOALS:
  7. Primary: __________________________________________________________
  8. Secondary: ________________________________________________________
  9. [1] The Personal History Sheet
  10. Written [  ]  Date ___________  Edited [  ]  Date ______________
  11. Printed [  ]  Date ___________  Copied [  ]  Date ______________
  12. Notes: _____________________________________________________________
  13. __________________________________________________________________
  14. [2] The Product Brochure
  15. Written [  ]  Date ___________  Edited [  ]  Date ______________
  16. Photos Needed? Type: __________  Yes ___  No ___  Done [  ] Date ________
  17. By: _____________________________  Cost: ___________  Paid: ___________
  18. Artwork Needed? Type: ________  Yes ___  No ___  Done [  ]  Date ________
  19. By: ____________________________  Cost: ___________  Paid: ____________
  20. Printed by: __________  Cost:______  Per ____  Printed ____  Date ________
  21. Notes: _____________________________________________________________
  22. __________________________________________________________________
  23. [3] The Press Release
  24. Written [  ]  Date ___________  Edited [  ]  Date ______________
  25. Printed [  ]  Date ___________  Copied [  ]  Date ______________
  26. Notes: _____________________________________________________________
  27. __________________________________________________________________
  28. [4] The Local Media Contact List
  29. TV Station: _____________ Ch. __________  Show: _______________________
  30. Contact: ____________________________   Position: _____________________
  31. Tel. ______-_______________ Ext. _______   FAX ______-_________________
  32. Contact Date: ____________   Reaction: ________________________________
  33. Booking to do a Segment:  Date: __________  Time: _______  Length: ______
  34. In Studio: __________________  On Location: ___________________________
  35. Details of Arrangement:  ____________________________________________
  36. __________________________________________________________________
  37. __________________________________________________________________
  38.  
  39. TV Station: _____________ Ch. __________  Show: _______________________
  40. Contact: ____________________________   Position: _____________________
  41. Tel. ______-_______________ Ext. _______   FAX ______-________________
  42. Contact Date: ____________   Reaction: ________________________________
  43. Booking to do a Segment:  Date: __________  Time: _______  Length: ______
  44. In Studio: __________________  On Location: ___________________________
  45. Details of Arrangement:  ____________________________________________
  46. __________________________________________________________________
  47. __________________________________________________________________
  48.  
  49. Radio Station: _______  #. ______  AM/FM Show: _______________________
  50. Contact: ____________________________   Position: _____________________
  51. Tel. ______-______________  Ext. _______   FAX ______-_________________
  52. Contact Date: ___________   Reaction: _________________________________
  53. Booking to do a Segment:  Date: ___________  Time: ______  Length: ______
  54. In Studio: _________________   On Location: ___________________________
  55. Details of Arrangement:  ____________________________________________
  56. __________________________________________________________________
  57. __________________________________________________________________
  58.  
  59. Radio Station: _______  #. ______  AM/FM Show: _______________________
  60. Contact: ____________________________   Position: _____________________
  61. Tel. ______-______________  Ext. _______   FAX ______-_________________
  62. Contact Date: ___________   Reaction: _________________________________
  63. Booking to do a Segment:  Date: ___________  Time: ______  Length: ______
  64. In Studio: _________________   On Location: ___________________________
  65. Details of Arrangement:  ____________________________________________
  66. __________________________________________________________________
  67. __________________________________________________________________
  68.  
  69. Radio Station: _______  #. ______  AM/FM Show: _______________________
  70. Contact: ____________________________   Position: _____________________
  71. Tel. ______-______________  Ext. _______   FAX ______-_________________
  72. Contact Date: ___________   Reaction: _________________________________
  73. Booking to do a Segment:  Date: ___________  Time: ______  Length: ______
  74. In Studio: _________________   On Location: ___________________________
  75. Details of Arrangement:  ____________________________________________
  76. __________________________________________________________________
  77. __________________________________________________________________
  78.  
  79. Radio Station: _______  #. ______  AM/FM Show: _______________________
  80. Contact: ____________________________   Position: _____________________
  81. Tel. ______-______________  Ext. _______   FAX ______-_________________
  82. Contact Date: ___________   Reaction: _________________________________
  83. Booking to do a Segment:  Date: ___________  Time: ______  Length: ______
  84. In Studio: _________________   On Location: ___________________________
  85. Details of Arrangement:  ____________________________________________
  86. __________________________________________________________________
  87. __________________________________________________________________
  88.  
  89. Newspaper: ________________________________________________________
  90. Contact: ____________________________   Position: _____________________
  91. Tel. ______-______________  Ext. _______   FAX ______-_________________
  92. Contact Date: ___________   Reaction: _________________________________
  93. Details: ____________________________________________________________
  94. __________________________________________________________________
  95.  
  96. Newspaper: ________________________________________________________
  97. Contact: ____________________________   Position: _____________________
  98. Tel. ______-______________  Ext. _______   FAX ______-_________________
  99. Contact Date: ___________   Reaction: _________________________________
  100. Details: ____________________________________________________________
  101. __________________________________________________________________
  102.  
  103. Newspaper: ________________________________________________________
  104. Contact: ____________________________   Position: _____________________
  105. Tel. ______-______________  Ext. _______   FAX ______-_________________
  106. Contact Date: ___________   Reaction: _________________________________
  107. Details: ____________________________________________________________
  108. __________________________________________________________________
  109.  
  110. [5] Selective Specialized Writing List
  111. Publication: ________________________________________________________
  112. Contact: ____________________________  Position: ______________________
  113. Tel. ______-_______________  Ext. _______  FAX ______-________________
  114. Contact Date: ____________ Reaction: __________________________________
  115. Details: ____________________________________________________________
  116. __________________________________________________________________
  117.  
  118. Publication: ________________________________________________________
  119. Contact: ____________________________  Position: ______________________
  120. Tel. ______-_______________  Ext. _______  FAX ______-________________
  121. Contact Date: ____________ Reaction: __________________________________
  122. Details: ____________________________________________________________
  123. __________________________________________________________________
  124.  
  125. Publication: ________________________________________________________
  126. Contact: ____________________________  Position: ______________________
  127. Tel. ______-_______________  Ext. _______  FAX ______-________________
  128. Contact Date: ____________ Reaction: __________________________________
  129. Details: ____________________________________________________________
  130. __________________________________________________________________
  131.  
  132. Publication: ________________________________________________________
  133. Contact: ____________________________  Position: ______________________
  134. Tel. ______-_______________  Ext. _______  FAX ______-________________
  135. Contact Date: ____________ Reaction: __________________________________
  136. Details: ____________________________________________________________
  137. __________________________________________________________________
  138.  
  139. [6] Letters of Reference
  140. Contact: _______________________________________  Date: ______________
  141. Relationship:  ______________________________________________________
  142. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  143. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  144. Comments: ________________________________________________________
  145. __________________________________________________________________
  146.  
  147. Contact: _______________________________________  Date: ______________
  148. Relationship:  ______________________________________________________
  149. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  150. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  151. Comments: ________________________________________________________
  152. __________________________________________________________________
  153.  
  154. Contact: _______________________________________  Date: ______________
  155. Relationship:  ______________________________________________________
  156. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  157. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  158. Comments: ________________________________________________________
  159. __________________________________________________________________
  160.  
  161. Contact: _______________________________________  Date: ______________
  162. Relationship:  ______________________________________________________
  163. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  164. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  165. Comments: ________________________________________________________
  166. __________________________________________________________________
  167.  
  168. Contact: _______________________________________  Date: ______________
  169. Relationship:  ______________________________________________________
  170. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  171. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  172. Comments: ________________________________________________________
  173. __________________________________________________________________
  174.  
  175. Contact: _______________________________________  Date: ______________
  176. Relationship:  ______________________________________________________
  177. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  178. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  179. Comments: ________________________________________________________
  180. __________________________________________________________________
  181.  
  182. Contact: _______________________________________  Date: ______________
  183. Relationship:  ______________________________________________________
  184. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  185. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  186. Comments: ________________________________________________________
  187. __________________________________________________________________
  188.  
  189. Contact: _______________________________________  Date: ______________
  190. Relationship:  ______________________________________________________
  191. Agreed to Write Letter:  Yes [  ]  No [  ]  Reason: ________________________
  192. Letter Expected: _________ (date)   Letter Received: ___  Date: ___________
  193. Comments: ________________________________________________________
  194. __________________________________________________________________
  195.  
  196. [7] Prior News Coverage
  197. From: ________________________________________   Date: ______________
  198. TV Spot (Video Tape) [  ]  Newspaper [  ]  Magazine [  ]  Radio (Audio Tape) [ ]  
  199. Copy Available: Yes [ ]   No [ ]   Reason: ________________________________
  200. Comments: ________________________________________________________ __________________________________________________________________
  201.  
  202. From: ________________________________________   Date: ______________
  203. TV Spot (Video Tape) [  ]  Newspaper [  ]  Magazine [  ]  Radio (Audio Tape) [ ]  
  204. Copy Available: Yes [ ]   No [ ]   Reason: ________________________________
  205. Comments: ________________________________________________________ __________________________________________________________________
  206.  
  207. From: ________________________________________   Date: ______________
  208. TV Spot (Video Tape) [  ]  Newspaper [  ]  Magazine [  ]  Radio (Audio Tape) [ ]  
  209. Copy Available: Yes [ ]   No [ ]   Reason: ________________________________
  210. Comments: ________________________________________________________ __________________________________________________________________
  211.  
  212. From: ________________________________________   Date: ______________
  213. TV Spot (Video Tape) [  ]  Newspaper [  ]  Magazine [  ]  Radio (Audio Tape) [ ]  
  214. Copy Available: Yes [ ]   No [ ]   Reason: ________________________________
  215. Comments: ________________________________________________________ __________________________________________________________________
  216.  
  217. From: ________________________________________   Date: ______________
  218. TV Spot (Video Tape) [  ]  Newspaper [  ]  Magazine [  ]  Radio (Audio Tape) [ ]  
  219. Copy Available: Yes [ ]   No [ ]   Reason: ________________________________
  220. Comments: ________________________________________________________ __________________________________________________________________
  221.  
  222. [8] Product Photo
  223. Photos Needed? Type: __________  Yes ___ No ___  Done [  ]  Date ________
  224. By: ___________________________________  Cost:________  Paid: _________
  225.  
  226. [9] Personal Photo
  227. Photos Needed? Type: __________  Yes ___ No ___  Done [  ]  Date ________
  228. By: ___________________________________  Cost:________  Paid: _________
  229.  
  230. [10] Misc. Information: __________________________________________
  231. __________________________________________________________________