Digital Ads Order Form

Agency Contact First Name*

Please provide the First Name of the person at your company you would like for us to contact about the campaign. All communication occurs between you and us we do not have direct communication with your clients.

Agency Contact Last Name*

Please provide the Last Name of the person at your company you would like for us to contact about the campaign. All communication occurs between you and us we do not have direct communication with your clients.

Agency Email*

Agency Contact Phone Number*

Area CodePhone Number

Business Name*

Provide the name of your business.

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Phone Number*

Area CodePhone Number

Business Website*

Provide your business website URL.

What is the desired start date for this campaign?*

Note: We require a minimum of 10 business days from the date that you submit this form and all required assets are supplied.

What is the client's monthly ad spend budget?*

What has the client set aside as a monthly budget for advertising

What is the value of a new customer to your business?*

What is the lifetime value of a new customer to your business? We use this to calculate campaign ROI. If left blank we will use a value of $100

What is the conversion rate of the leads coming into the business?*

Knowing the conversion rate helps us to calculate ROI based on leads generated for the business.

Please specify the goal of this campaign?*

Describe in your own words what results you would like for this campaign to achieve

What is the Instagram URL? (If Applicable)

We will request admin access to your business page to run ads.

What is your Facebook page URL? (If Applicable)

We will request admin access to your business page to run ads.

What is your YouTube page URL? (If Applicable)

This is required for video campaigns that have to run on YouTube.

What are the thank you page URLs?

This is information is required for conversion tracking

Where should we target?*

Please provide target cities, addresses to blueprint, zip codes, or a mile radius around the business location.

Any special demographics?*

What is the special, promotion, or discount that the campaign will feature?*

This is mandatory unless you are only seeking impressions.

Please supply the top categories that describe the business’s products and services.*

This helps us to build our campaigns and maximize results.

What would make this campaign a success?*

Help us understand exactly what would be considered a success in running this campaign. This helps us to ensure that we are meeting and exceeding campaign goals.

Any additional notes or specific creative directions regarding this order submission?

Please share any additional information that you would like to communicate with us regarding the campaign.

Digital Ads Order Form

Business Contact Information

Digital Ads