2004 Q1/Q2 DISH NETWORK CO-OP ADVERTISING PRE-APPROVAL FORM - Alaska
FAX proposed ad to EchoStar Retail Marketing at 303-723-1499 or send via E-mail to email@example.com.
Please fill out the Retailer portion of this form completely. Forms that do not contain a complete Retailer section will not be processed.
Please refer to the 2004 Co-op Advertising Guidelines for complete program details. Access the Retailer Website for Co-op Guidelines: http://retailer.echostar.com.
Please note: the number printed in the Retailer fax portion of this form must be the Retailer’s fax number and is the number where this form will be faxed.
To be completed by Retailer: Retailer # State: Alaska
DISH Network Retailer Name: _______________ Ad will appear as: 1 pg 2 pgs 3 pgs
Contact Name: _______ Media Type (please select one of the following):
Print Billboard Signage
E- Mail: _____
30 sec. Radio 60 sec. Radio ____ Quantity of signs
30 sec. TV 60 sec. TV
Contact Phone: _______
Trade Show / Event Mall Kiosk / Cart
Direct Mail Mail Out
Retailer Fax: _______________
News Insert Bill Insert Flyers
Ad Title / Name of Event: ________________
Promotion - please select one of the following (if applicable):
Date Ad will run / Date of Event ________________ Free-For-All Save up to $500
Publication Name: ________________
EchoStar Use Only:
AD/ EVENT HAS BEEN APPROVED AD / EVENT HAS BEEN DENIED
*Please include this form when submitting Co-op Advertising Claim. *Please revise and resubmit for final approval.
AD HAS BEEN APPROVED PENDING CHANGES TV script approved; please submit video for final approval.
*No need to resubmit ad after necessary changes are made.
TV script needs changes; please correct and submit video.
Advertisement must include the following:
Current DISH Network logo, should be proportionate to Retailer logo, in compliance with specifications outlined in 2004 Co-op Advertising Guidelines. DISH Network must be
shown as DISH Network.
Retailer name and contact information (phone number and/or address)
Must explain the promotion. All elements must be in the body of the ad (except for radio ads, in which case this information can be placed in the disclaimer).
For Trade shows and events, complete a DISH Network event application and submit with this form and the contract with an event representative’s signature.
All Generic ads must have a call to action statement. For example, “call now to find out how you can get a free satellite receiver.” See co-op guidelines for more options.
The appropriate DISH Network disclaimer, including offer end date and applicable text for DVR, and local channels must be present. Disclaimers are available on the
Please specify length of radio or TV advertisement. 60-second radio ads must mention DISH Network 3 times; 60-second TV ads must mention DISH Network 2 times and
show it twice. 30-second TV ads must mention DISH Network 2 times and show it once. 30-second radio ads must mention DISH Network 2 times.
Programmers’ logos/video footage is not allowed in non-EchoStar-produced TV and Print ads. DISH Network assumes no liability for photographs used in print advertising.
Promotional Language: The following items must be included in either the creative body, or in the bold paragraph above the disclaimer. Reference
the Promotional Guideline for the exact language to be used. Note: the disclaimer begins with the sentence “Offer Ends…”.
Save up to $500 Free-For-All
$49.99 equipment cost $149 for 1 receiver (301) or $199 for 2 (301/301)
$49.99 credit on your bill Requires subscription to qualifying programming to
Requires SSN and valid major credit card receive equipment credits
Participation is subject to credit approval Requires SSN or last 4 digits of SSN and $49.99 payment
Minimum qualifying programming purchase for 12 for identity verification
consecutive months $4.99/mo. programming access fee for each receiver
Cancellation fee - $240 beyond first
$4.99/mo. programming access fee for each receiver beyond Customer will receive a credit on their bill:
first $10.00/mo. for the 1st 15 months for 1 receiver
Monthly price point and programming package $10.00/mo. for the 1st 20 months for 2 receivers
If 24-month option – add language Monthly price point and programming package
If DVR $4.98 DISH Video-On-Demand Service Fee If DVR $4.98 DISH Video-On-Demand Service Fee
Installation and satellite DISH antenna sold separately Installation and satellite DISH antenna sold separately
DISH antenna may vary based on location DISH antenna may vary based on location
EchoStar Signature_________________________________________ Date____________ Approval Valid Through________________
Advertising requirements subject to change without notice. February, 2004