## Form: Response Code Request Form
### Overview
The image is a scanned form titled "Response Code Request Form". It appears to be an internal document, possibly for a marketing campaign. The form contains fields for various details such as project name, distribution information, timing, agency details, fulfillment information, and contact persons.
### Components/Axes
* **Header**:
* "From: Joyce Bagby To: Brian Robbins" (top-left)
* "Date: 6/14/96 Time: 12:18:14" (top-center)
* "Page 2 of 7" (top-right)
* "Response Code Request Form" (centered, large font)
* **Form Fields**:
* "RJR Brand": "Eclipse"
* "Fax #": "(910) 741-1672", "Attn: Joyce Bagby"
* "RJR Program #": "601778", "Response Code: U19"
* "Project Name": "2-Free Pack Request - Viewership Interest Confirmation #2"
* "Description": "Mail Launch Mailers without an invitation to Sneak Previews to Charlotte and Indianapolis to confirm interest and intent levels. Mailer has a BRC offer for free trial which is this response code. If returned smoker gets two free packs."
* "Distribution":
* "Quantity": "750"
* "Pct. Response": "20.00 %"
* "# of Responders": "150"
* "Distribution Vehicle": "Direct Marketing"
* "Timing":
* "DTS": "07/10/96"
* "Expiration Date": "05/01/96"
* "Offer Complete": "07/11/96"
* "Days Offer Open": "1"
* "Data Entry":
* "Supplier": "M/A/R/C"
* "Incoming mail": "BRC"
* "Agency":
* "Agency Name": "Mezzina/Brown"
* "Contact Person": "Tami LaManna"
* "Phone #": "(212) 251-7700"
* "If M/A/R/C is supplier, do you need a M/A/R/C P.O. Box?": "Yes"
* "P.O. Box Title": "Eclipse"
* "Fulfillment":
* "Company": "M/A/R/C"
* "Job Number": (blank)
* "Number of Items on Order Form": "1"
* "P.O. Box": (blank), "City": (blank), "State": (blank), "Zip Code": (blank)
* "Comments": (blank text area)
* "Marketing Person Responsible for Project": "Mike Duffy - 0910"
* "Production Contact": "Joe Leinster"
* "Response Code Requested By": "Mike Duffy"
* "Copies of Confirmation Letter To":
* "Suzi Hicks"
* "Tami LaManna"
* "Vanessa Oakley"
* "Teresa Smith"
* "Jack Bellis"
* "Nancy Montgomery"
* **Footer**:
* "RJR Form 931 WM $300" (bottom-left)
* "Source: https://www.industrydocuments.ucsf.edu/docs/lflw0023" (bottom-center)
* "834076" (handwritten, right of comments box)
* "359" (handwritten, below 834076)
* "69100-69199" (handwritten, below 359)
* "52250 5639" (handwritten, along right edge)
### Detailed Analysis or ### Content Details
* **Distribution Details**: The campaign involves a quantity of 750 mailers, with an expected response rate of 20%, resulting in 150 responders. The distribution vehicle is direct marketing.
* **Timing**: The DTS (Date Time Stamp) is 07/10/96, the expiration date is 05/01/96, the offer is complete on 07/11/96, and the offer is open for 1 day.
* **Agency Information**: The agency involved is Mezzina/Brown, with Tami LaManna as the contact person and the phone number (212) 251-7700.
* **Fulfillment**: The company is M/A/R/C, and the number of items on the order form is 1.
* **Handwritten Numbers**: The numbers "834076", "359", "69100-69199", and "52250 5639" are handwritten, possibly representing internal tracking or coding.
### Key Observations
* The form is dated 6/14/96, and many of the dates are in 1996, suggesting this is a historical document.
* The project involves sending mailers to promote sneak previews in Charlotte and Indianapolis.
* The handwritten numbers at the bottom-right suggest internal tracking or coding.
### Interpretation
The "Response Code Request Form" provides a snapshot of a specific marketing campaign undertaken by RJR (likely a tobacco company, given the source URL). The form captures key details about the campaign's scope, timing, target audience, and responsible parties. The handwritten numbers likely represent internal tracking codes or identifiers used by RJR for managing and analyzing the campaign's performance. The document's existence within the UCSF industry documents library suggests its relevance to research or investigations related to the tobacco industry's marketing practices.