ID Comms | Agency Registration

Agency Registration

You need JavaScript enabled to use this form !

Agency primary contact for new bussiness

Please note that you must fill in all of the fields. Thank you.

First Name Last Name Office Phone Mobile Email

Agency details

Please note that you must fill in all of the highlighted fields. Thank you.

Agency Name Agency Address 1 Agency Address 1 City Zip / Postcode Country Main Phone Number

Links to agency content

Please note that you must fill in all of the highlighted fields. Thank you.

Website URL Agency Twitter Agency credentials link (Slideshare) Agency case study resources Other links (with descriptions) Headquarters Location Date Founded

Ownership and staffing

Please note that you must fill in all of the highlighted fields. Thank you.

Ownership (private/public) Employees (this office) Employees (regional) Other offices (list cities and headcount only)

Key executives

Please note that you must fill in all of the fields for CEO. Thank you.

CEO / President

First Name Last Name Title Phone Email

Key Strategy Executive

First Name Last Name Title Phone Email

Key Creative

First Name Last Name Title Phone Email

Key Client Service / Account Management

First Name Last Name Title Phone Email

Key Digital

First Name Last Name Title Phone Email

Bussiness Development Head

First Name Last Name Title Phone Email

Marketing Head

First Name Last Name Title Phone Email

Other

First Name Last Name Title Phone Email

Billings / Revenue for this office

Please note that you must fill in all of the dropdown fields. Thank you.

Last Full Year Billings (Approximate) Billings This Year (Projected) Last Full Year Revenue (Approximate) Revenue This Year (Projected)

Account distribution

$0-$5 million $5-$10 million $10-$20 million $20-$50 million $50-$100 million $100-$200 million $200+ million

Agency income

Please give an approximation of the % of your revenues derived from the following remuneration models.

Please note that you must fill in all of the highlighted fields. Thank you.

Commission on client budget Fee (project) Fee (cost plus) Fee (other) Hybrid Commission + Fee PRIP / Incentive / Bonus Value based compensation Other (please describe)

Agency main business activity

Please pick one discipline from the list that best describes your company’s main business activity.

Please select your main bussiness activity !

Current Clients

List your top 5 current clients by revenue. Indicate the year the account was acquired and the nature of the relationship: agency-of-record (AOR) or a project assignment.

Please note that you need to provide details for at least one client. Thank you.

1. Company Name/Brand Year acquired AOR or project basis? 2. Company Name/Brand Year acquired AOR or project basis? 3. Company Name/Brand Year acquired AOR or project basis? 4. Company Name/Brand Year acquired AOR or project basis? 5. Company Name/Brand Year acquired AOR or project basis?

Please note that you must fill in all of the highlighted fields. Thank you.

Elevator Pitch

In 50 words, please provide us with a brief description of your company.

Company Vision

In 100 words, please describe your company’s vision / USP / mission.

Client Relationship

In 100 words, please describe your ideal client relationship