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Raffle and Contest
DTI sales promotion application form for raffle and contest
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DEPARTMENT OF TRADE AND INDUSTRY
FAIR TRADE ENFORCEMENT BUREAU
SALES PROMOTION APPLICATION FORM
___ RAFFLE
___ CONTEST
DATE
PROMO TITLE
( ) 1. NAME OF SPONSOR :___________________
•
•
•
•
ADDRESS
:
TELEPHONE NO:
AUTHORIZED REPRESENTATIVE :
DESIGNATION :
_
_____________
_____________
( ) 2. NAME OF ADVERTISING AGENCY :
•
•
•
•
_________
____
____
___________________ ____
_____________
____
________
ADDRESS
:
TELEPHONE NO:
AUTHORIZED REPRESENTATIVE :
DESIGNATION :
___________
__________
__________
__________
__________
__________
________
( ) 3. PROMO PERIOD :
( ) 4. COVERAGE :
GMA
NATIONWIDE
( ) 5. LIST OF PARTICIPATING OUTLETS/BRANCHES :
OTHERS :
________
_______________
___________
___________
( ) 6. PRODUCTS/SERVICES PROMOTED :
BRAND
_____________________
_____________________
_____________________
( ) 7. PURCHASE AMOUNT REQUIRED :
MODEL, SPECIFICATIONS, SIZES (in metric, enclose English
size in parenthesis if applicable)
_________________________________________________________
______________________________________________________
______________________________________________________
___
( ) 8. WHO ARE QUALIFIED TO JOIN?: _________________________________________________________
( ) 9. WHO ARE DISQUALIFIED TO JOIN?:
Employees of promoting agency (_________________________________________ ), advertising agency
(_______________________________________) and participating outlets including their relatives up
to second degree of consanguinity or affinity are disqualified from joining the promotion .
( ) 10. HOW TO JOIN: _____________________________________________________________________
_______________________________________________________________________________
( ) 11. LOCATION OF DROP CENTER : _______________________________________________________
( ) 12. DEADLINE OF SUBMISSION OF ENTRIES (DATE & TIME): ____________________________________
( ) 13. RAFFLE DRAW / DETERMINATION OF WINNERS (within 14 days from deadline for submission of entries)
DATE & TIME (preferably after office hours) : _____________________________
VENUE : ____________________________________________________________________________
raffle/contest
page 1 of 3
( ) 14. PROCEDURE IN THE DETERMINATION OF WINNERS
RAFFLE
( )
( )
( )
JUDGING
( )
MANUAL
ELECTRONIC
OTHERS, SPECIFY _____________________________________________________
CRITERIA WITH CLEAR DEFINITION AND PERCENTAGE
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
( ) NAMES & PROFILE OF JUDGES:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
( ) PROCEDURE IN THE VERIFICATION OF WINNING ENTRIES:
__________________________________________________________________________
( ) 15. PRIZES W/SPECIFICATION
( SIZES IN METRIC,
BRAND, MODEL )
_______________________
_______________________
_______________________
_______________________
NO./CATEGORIES
OF WINNERS
____________
____________
____________
____________
COST OF EACH
_________________
_________________
_________________
_________________
TOTAL
COST
____________
____________
____________
____________
TOTAL NUMBER OF WINNERS PER DRAW/JUDGING : ____________
TOTAL NUMBER OF WINNERS FOR ALL DRAWS/JUDGING : ____________
( ) TRIP, SCHOLARSHIP & CELLPHONE PRIZES :
TRANSFERABLE
CONVERTIBLE TO CASH
CASH CONVERSION VALUE : _______________________________
( ) 16. NUMBER OF TIMES A PARTICIPANT CAN WIN : __________________________________________
( ) 17. NOTIFICATION OF WINNERS : _________________________________________________________
( ) 18. ANNOUNCEMENT OF WINNERS : ______________________________________________________
( ) 19. WHO SHALL PAY 20% TAX FOR PRIZES EXCEEDING P10,000.00: ______________________________
( ) 20. PERIOD OF REDEMPTION/CLAIM PERIOD : ______________________________________________
( ) 21. COMPLETE ADDRESS OF REDEMPTION CENTER
for GMA winners: _________________________________________________________________
for PROVINCIAL winners: ___________________________________________________________
( ) 22. HOW TO CLAIM PRIZES: _____________________________________________________________
( ) 23. ATTACHMENTS
( ) COMPLETE MECHANICS
( ) CONTROL MEASURES (Procedure in handling, collecting, safekeeping of entries and
ensuring the fairness in determination of winners)
( ) PROMO PARTICULARS (raffle stub, entry form, coupon, score sheet, tally sheet)
raffle/contest
page 2 of 3
( ) MEDIA UTILIZED :
( ) RADIO AD (Audio Script)
( ) POSTER (Proof of Ad Artwork)
( ) TV/CINEMA AD (Story board)
( ) STREAMER (Proof of Artwork)
( ) WEB-BASED ADS (Screenshots of online ads) ( ) PRINT AD (compre)
( ) EMAIL-BASED ADS (Email transcript)
( ) MAILERS (compre)
( ) TEXT-BASED ADS (Text transcript)
( ) FLYERS (compre)
( ) OTHERS: __________________________________________________________
( ) DESCRIPTION OF PARAPHERNALIA / PROGRAM / SYSTEM (layout, flowchart, screenshots)
( ) REGISTRATION REQUIREMENTS :
( ) For first-time: Business/Mayor’s Permit, Business Name Registration
Certificate/SEC Registration Certificate, Articles of Incorporation, By-laws
( ) Certificate of product registration
( ) NTC registration/approval
( ) Certificate of Accreditation of Service and Repair Shop
( ) Product Standard Certificate
( ) HLURB issued License
( ) MEMORANDUM OF AGREEMENT/CONFORME WITH PARTICIPATING OUTLETS /
DROPCENTERS / REDEMPTION CENTERS / PROMO PARTNERS
( ) HOUSE AND LOT PRIZE : title, blueprint, specifications, model, location plan, cost and
area of house, cost and area of lot
( ) APPRAISED VALUE OF JEWELRY SIGNED BY LICENSED GEMOLOGIST
( ) SALES PROMOTION ACTIVITY SHEET
UNDERTAKING
I/We hereby understand and agree that :
1. DTI- FTEB SPD shall act on this application within fifteen (15) days from receipt of complete documents.
2. If I/We do not receive any communication from DTI-FTEB SPD after submission of complete
documents/requirements within the prescribed fifteen (15) days, the above application shall be deemed
approved. However, such presumption of approval shall not absolve us from violations other than our
lack of permit from your Office.
Authorized Representative of :
SPONSOR
ADVERTISING AGENCY
____________________________
SIGNATURE
__________________________
SIGNATURE
____________________________
PRINTED NAME
__________________________
PRINTED NAME
____________________________
DATE
__________________________
DATE
raffle/contest
page 3 of 3
CPG-FTEB-SPD-QF-01C
Rev00 / 10/03/2016
