Community Display & Programmatic Order Form

Order Extension / Accepted Quote

Includes billing-only submissions
This includes renewals, accepted quotes, as well as billing-only submissions. This form must be filled out in order for the billing to be processed. For Programmatic or Community Display extensions, please use the forms in those links.
Today's Date

MonthDayYear
Date
Sales Rep Name
Sales Rep Email
name@example.ca
Your Name
If different from above
Your Email
name@example.ca
Market
Sales rep's publication or division
Client company name
Naviga Campaign ID
Type 'none' (or include DTI Client #) if market doesn't use Naviga
Is this a renewal or an accepted quote order?
Original order #s (Jotform + Mavenlink)
(JotForm QR____ + Mavenlink Project URL)
Product (extension) [note that Programmatic-ONLY extensions should be submitted using the Programmatic Jotform]

Other
Renewal Start Date

MonthDayYear
Will usually be the day after the previous order has ended
New End Date

MonthDayYear
Date
Confirm Monthly Cost ($)
Include actual revenue of specific product. If multiple products, please indicate cost breakdown in Notes
Confirm Total Cost ($) of Extension
Monthly Ad Budget ($)
Google/Facebook spend -- You MUST include the actual budget and not "same as before" or anything like that
Indicate any changes from original order. If multiple products are included, indicate cost breakdown
Include updated campaign/billing details and any other billing notes
Product (quote accepted / billing)

Other
Start Date

MonthDayYear
End Date

MonthDayYear
Total Cost ($)
List any other products/services the client has with GMD
Additional Notes & Details (if renewing multiple products, please include cost breakdown by product)
Attach all relevant files

Browse Files

Cancelof
Should be Empty:

Order Extension / Accepted Quote