Comments
Back
First Name
Last Name
Email
Phone
Agency/ Company Name
OEM Acura Alfa Romeo Audi BMW Buick Cadillac Chevrolet Chrysler Dodge Fiat Ford Genesis GMC Honda Hyundai Infiniti Jaguar Jeep Kia Land Rover Lexus Lincoln Maserati Mazda Mercedes-Benz Mini Mitsubishi Nissan Porsche Ram Subaru Toyota Volkswagen Volvo
Dealership Name
Dealership URL
Desired Campaign Start Date
Budget NBC Spot On A: $1,500 NBC Spot On B: $3,000 NBC Spot On C: $4,500 NBC Spot On Spanish A: $1,500 NBC Spot On Spanish B: $2,000 NBC Spot On Spanish C: $2,500 NBC Spot On + Live Sports A: $3,000 NBC Spot On + Live Sports B: $5,000 NBC Spot On + Live Sports C: $7,500 Custom
Additional Add-On Packages NBC Spot On Spanish A: $1,500 NBC Spot On Spanish B: $2,000 NBC Spot On Spanish C: $2,500 Custom
If custom, please specify package type and budget amount:
Is Constellation permitted to reach out to the dealer directly? If yes, please provide dealership contact we should work with.
Should we bill the dealer directly? Yes No
Is the dealer enrolling through a certified program Yes No