Targeted Display Order Form

Targeted Display Order Form
Sold By:
Contact Name

First NameLast Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Business Name*
Business Website*
Campaign Details
What is the desired start date for this campaign?*

MonthDayYear
Date
What is the desired end date for this campaign? (Min. 3 months)*

MonthDayYear
Date
What is the budget of this campaign?
What is the campaign goal?*
Example: branding, awareness, traffic to site, conversion, lead generation, form fills.
Who is your target audience?*
Consider demographics, behavior, and content targeting you'd like to use. Example: 25-54, homeowners, auto-intenders.
Geographic Target*
City, County, DMA, State, Zip Codes, Country
Click Through URL*
The landing page you'd like to use for this campaign.
Do you need help with creating a landing page?
Please fill in creative form separately here: client.citymedia.press
What conversion URLs would you like us to track?*
Example: Thank You page, Contact Us page, Directions page, Sign Up page.
Is there anything else you'd like us to know about the campaign?
Please attach your creatives.*

Note: We recommend the following sizes: 728x90, 300x250, 320x50, 300x50, 160x600, and 300x600. Please note that we will not be able to start building your campaign until the creatives are received.
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Do you need help with creatives?
Please fill in creative form separately here: client.citymedia.press
Should be Empty:

Campaign Details