Video Pre-Roll Ad Insertion Order

Advertiser/Client Information

Advertiser Name Contact Person Email Phone Agency (if applicable)

Campaign Details

Campaign Name Start Date End Date Target Audience Geographic Targeting

Ad Creative

Creative File URL Call to Action Companion Banner (URL or specs) Special Instructions

Placement & Pricing

Placement	Impressions	CPM / Rate	Total

Reporting & Tracking

Tracking Requirements Reporting Frequency

Terms & Conditions / Approvals

Notes / Terms Authorized By Date