Innovid Campaign Request and SLA Form TV2 Campaign Request and SLA Form Station * -- Select Station --COMPULSE – Hunt Valley, MDEHAM – Rochester, NYETWC – Tallahassee, FLYes Network, LLCFox Sports WestFox Sports WisconsinFox Sports SouthwestFox Sports SunSportsTme OhioFox Sports SouthFox Sports SoutheastFox Sports San DiegoFox Sports Prime TicketFox Sports OhioFox Sports NetbaseFox Sports NorthFox Sports MidwestFox Sports FloridaFox Sports DetroitFox College Sports PacificFox College Sports CentralFox College Sports AtlanticFox Sports ArizonaKABB – San Antonio, TXKAEF – Eureka, CAKAME – Reno, NVKATU – Portland, ORKATV – Little Rock/Pine Bluff, ARKBAK – Bakersfield, CAKBFX – Bakersfield, CAKBOI – Boise, IDKBSI – Cape Giradeau, MOKBTV – Beaumont, TXKBVU – Eureka, CAKCBY – Euguene, ORKCFW – Missoula, Kalispell, MTKCVU – Chico-Reading, CAKDBZ-CD – Butte-Bozeman, MTKDNL – St. Louis, MOKDSM – Des Moines, IOKECA-LD – Eureka, CAKECI – Missoula, Kalispell, MTKEPR – Yakima, WAKEUV-LP – Eureka, CAKEYE – Austin, TXKFDM – Beaumont, TXKFOX – El Paso, TXKFRE – Fresno, CAKFXA – Cedar Rapids, IAKFXL – Lincoln, NEKGAN – Cedar Rapids, IAKGBT – Harlingen, TXKHGI – Lincoln, NEKHQA - Quincy, IL/Hannibal, MOKIDK - Idaho Falls-Pocatello, IDKIMA – Yakima, WAKJNB – Jonesboro, ARKKTF-LD – Chico-Reading, CAKLEW - Lewiston, IDKMCW – Euguene, ORKMEG - Sioux City, IAKMPH – Fresno, CAKMTR – Eugene, ORKMTW – Wichita, KSKMYS – San Antonio, TXKMYU – Salt Lake City, UTKOCB - Oklahoma City, OKKOKH - Oklahoma City, OKKOMO – Seattle, WAKORX – Yakima, WAKPIC – Euguene, ORKPLZ – Seattle, WAKPTH - Sioux City, IAKPTM - Omaha, NEKRCG - Columbia/Jefferson City, MOKRCR – Chico-Reading, CAKRNV – Reno, NVKRVU-LD – Chico-Reading, CAKRXI – Reno, NVKSAS – Wichita, KSKSCC - Corpus Christi, TXKSNV - Las VegasKTCW – Euguene, ORKTES-LD - Abilene-Sweetwater, TXKTOV - Corpus Christi, TXKTUL - Tulsa, OKKTVL - Medford, ORKTVM – Butte-Bozeman, MTKTVO - Ottumwa, IAKTXE – San Angelo, TXKTXE-LD - Abilene-Sweetwater, TXKTXS - Abilene-Sweetwater, TXKUCO-LP – Chico-Reading, CAKUNP – Portland, ORKUNS – Seattle, WAKUNW – Yakima, WAKUTV – Salt Lake City, UTKVAL – Eugene, ORKVCW - Las Vegas, NVKVIH - Amarillo, TXKVII - Amarillo, TXKVMY - Las Vegas, NVKVVK – Yakima, WAKWBB – Beaumont, TXKXPI - Idaho Falls-Pocatello, IDKXPX - Corpus Christi, TXKXTU - Colorado Springs, COKXVO - Omaha, NEKYUU – Boise, IDMail TribuneMoJoMTVD – Dayton, OHNATL – Sinclair National SalesWABM - Birmingham, ALWACH - Columbia, SCWBFF – Baltimore, MDWBMA - Birmingham, ALWBSF – Flint, MIWBUI - Decatur, ILWCCU - Champaign/Springfield, ILWCFT - Birmingham, ALWCGV - Milwaukee, WIWCHS – Charleston/Huntington, WVWCIV – Charleston, SCWCTI – Greenville-New Bern-Washington, NCWCWN - Albany (Schenectady, NY)WCYB - Tri-Cities, TN-VAWDBB - Birmingham, ALWDKA – Cape Giradeau, MOWDKY - Lexington, KYWEAR – Pensacola/Mobile, FLWEMT - Tri-Cities, TN-VAWEYI – Flint, MIWFGX – Pensacola/Mobile, FLWFXL - Albany, GAWGBC – Meridian, MSWGFL – Gainesville, FLWGME – Portland, MEWGTQ - Traverse City/Cadillac, MIWGTU - Traverse City/Cadillac, MIWGXA - Macon, GAWHAM - Rochester, NYWHP - Harrisburg, PAWHPM – Hattiesburg, MSWICD - Champaign, ILWICS - Springfield, ILWJAC - Johnstown, PAWJAR - Providence, RIWJLA - Washington, DCWJSU - Birmingham, ALWJTC - Mobile, ALWKEF - Dayton, OHWKRC - Cincinnati, OHWLFL - Raleigh-Durham, NCWLOS - Asheville/Greenville, NCWLUC - Marquette, MIWLUK - Green Bay, WIWLYH - Harrisburg, PAWMMP – Charleston, SCWMSN - Madison, WIWMYA - Asheville/Greenville, NCWMYG-LP – Gainesville, FLWMYV - Winston-Salem/Greensboro, NCWNAB - Nashville, TNWNBJ – Jackson, TNWNBW - GainesvilleWNUV – Baltimore, MDWNWO - Toledo, OHWNYO – Buffalo, NYWOAI – San Antonio, TXWOLF - Wilkes-Barre, PAWPBI - Lafayette, INWPBN - Traverse City/Cadillac, MIWPDE – Myrtle Beach/Florence, SCWPEC – West Palm Beach, FLWPFO – Portland, MEWPGH - Pittsburgh, PAWPMI - Mobile, ALWPMY - Pittsburgh, PAWQMY – Wilkes-Barre, PAWRDC - Raleigh-Durham, NCWRGB - Albany (Schenectady, NY)WRGT - Dayton, OHWRLH - Richmond, VAWRSP - Springfield, ILWSBT - South Bend, INWSET - Roanoke/Lynchburg, VAWSJV – South Bend, INWSMH – Flint, MIWSTM – Syracuse, NYWSTQ – Syracuse, NYWSTR – Cincinnati, OHWSWB – Wilkes-Barre, PAWSYX – Columbus, OHWTAT – Charleston, SCWTCN – West Palm Beach, FLWTGS – Pensacola/Mobile, FLWTLF – Tallahassee, FLWTOM – Traverse City/Cadillac, MIWTOV – Steubenville, OHWTTE – Columbus, OHWTTO – Birmingham, ALWTVC – Chattanooga, TNWTVH – Syracuse, NYWTVX – West Palm Beach, FLWTVZ – Norfolk, VAWTWC – Tallahassee, FLWUCW – Minneapolis/St Paul, MNWUHF – Rochester, NYWUTB – Baltimore, MDWUTV – Buffalo, NYWUXP – Nashville, TNWVAH – Charleston/Huntington, WVWVTV – Milwaukee, WIWWHB – West Palm Beach, FLWWHO – Columbus, OHWWMT – Grand Rapids/Lansing, MIWXLV – Winston-Salem/Greensboro, NCWYDO – Greenville-New Bern-Washington, NCWZTV – Nashville, TN Requester Name * MC Email * MC Name * CC Emails CC Email plus1 Add another email minus1 Remove this email Client Name * Website URL for tracking web lift * Type of Business * Monthly Dollar Commitment * Total Dollar Commitment * KPI’s Requested for Tracking * Total Impressions * Added CPM ($2cpm is rate card) * This is Drive Auto? * Yes No Have you already received approval from your RSM? * Yes No RSM * Select RSM...Jodelle BaileyJeremy SmithKyle BeckerRay ArroyoAshleigh HammondBernadine FredriksenEvan DaughertyKelly StagnoMandy Medsker Length of Flight * Order Type * OTTLinearBoth SLA Explanation * Consent * I understand the process to get a campaign running with Attribution takes up to 7 business days, and I will follow all steps listed on the Media Kit. 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