Pre-qualify Form

Please complete the form below and click the “Submit” button or you can print the PDF file and fax your information.

Referral Information

Referred By Contact Name Phone Number Email Address

Personal Contact Information

Date Your Name Your Company Address City State Zip Phone Number Cell Number Your Web Site Your Email

PRODUCT & MARKETING QUESTIONS

What is the name of your product? Have you marketed this product using the medium of direct response TV?
How much do you know about direct response TV advertising?
Are you interested in learning direct TV as a way of marketing. your product?

Please provide a brief description of your product including how it works and why it is unique. Please list five effect or claims your product will have on the user. What is your relation to this product? Select all that apply. Does your product address a problem or need that can be told on DRTV? Explain

Is it trademarked?
Does it have a patent? If yes, please provide a patent number.
Do you have scientific studies performed by an accredited institution?
If yes, then please provide the name of the institution and list the studies performed.
Do you have any testimonials available to be used in a DRTV commercial?

What is the suggested retail price of your product? Is your products "COGS" a 5 to 1 or better for DRTV? Example: $19.95 DRTV offer. COG's $4.00 = 5 to 1.
If no what are the cost of goods to manufacture? Do you plan to offer any up-sell offers with your product? If yes, Explain.
Does your product have any back-end continuity programs? If yes, Explain.

Who is your product made for? What is your target market approach?
What forms of marketing have been conducted? What outlets is your product currently being sold?Please list

What type of budget do you think you need to test DRTV?
When would you be able to test your product in DRTV?
How many people are working with you on the project? Can you provide us with a sample of the product?
Do you have exclusive marketing rights?
Additional Comments

Thank You for Completing Your Step #1 Pre-Qualification Questionnaire!
A ASOTTF executive will be contacting you for Step #2 within a few business days.

If you have any questions or comments please call: ASOTTF Headquarters: Phone: 801-618-7365 email: info@asottf.org