Advertisement Request Form – TeamAFN Center for Marketing Information

Your Information

First Name *

Last Name *

Email Address *

NMLS *

Phone

Website/URL

Branch Code and Branch Name *

Your branch code and branch name are the 4 digit number and name that Accounting and HR uses to define which branch you belong with. It is not necessarily your street/city name. Please contact HR if you do not know your branch code or name.

Branch Address *

Who is your target audience(s)? *

Check all that applies

Are you featuring a loan program?

Yes

No

What is the loan program?

Who is the broker?

Tell Us More About The Advertisement *

Type of Ad (Click any that apply)

Format Needed *

Dimension of the piece requested *

Is there an event, print or magazine deadline?

Yes

No

Date: *

File Upload

Please upload any files/images (even a doodle or sketch) you want to include with this request.

File Upload

Maximum file size: 33.55MB