Agency Co-op Form - Frankenmuth Insurance

Please confirm your participation:*

Confirmation must be received by Monday, April 5, 2021.

Yes, my agency would like to participate.
No, not at this time.

Agency name:*

ZIP Code:*

Contact name:*

Phone:

Email:

That's great! We're happy that you are going to participate.

Which billboard would you like?*

Select one:

Which location?

See email for choices.

Please upload your logo in .eps, .png or .jpg format. If a logo is not available, we will display your agency name in text.

Upload logo:

Drop files here or

Accepted file types: eps, png, jpg, Max. file size: 20 MB, Max. files: 4.

Type in how you'd like your agency name to display if no logo:

In instances when we have to type the name of the agency, how do you typically refer to yourselves? For example, do you always say “insurance agency”? Do you use words like “company” or “incorporated”?

Are you interested in sharing the cost of an additional advertising tactic to have a bigger impact?*

Co-operative advertising can be combined with your billboard to help expand awareness of your agency.

Yes
No

What media tactic would you be most interested in using?*

If your budget would allow you to participate in more than one option please select which ones you are interested in:

Newspaper advertising
Digital ad, targeted by location
Paid Facebook post

May we reach out to you to discuss?

We'd like to learn more, and we promise to not take too much of your time.

Yes
No

Phone

This field is for validation purposes and should be left unchanged.

2021 Co-Brand Billboard Media Campaign

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