Credit information for submissions

Hey guys Below is the credit information required for submissions to Audrey 2. Fill in where applicable, fields marked with * are compulsory and we will hunt you down if you don't, oh yes we can do that. We have the technology.

Cheers
The guys at Audrey 2

Brand:
*Title(s):
Headline and copy text (in English):
*Agency/Creator (Name, City):
Agency/Creator website: http://
Creative Director:
Art Director:
Designer:
Copywriter:
Illustrator:
Photographer:
Other additional credits:
* Although previous publication of work is not compulsory please supply publication date if applicable, otherwise supply date of completion (Month, Year):
Short rationale (optional):