eLead Enrollment Form

1
Please select which brand you would like to enroll in eLead* This field is required.If you wish to enroll in eLead for more than one brand, you must submit this form again.
Kona Ice
Travelin' Tom's Coffee
2
Franchise Contact Information* This field is required.Please enter your franchise contact information below.
Owner First Name
Owner Last Name
Local Kona or Tom's Name (Example: Kona Ice NKY)
Phone Number
Email Address
3
Local Kona or Tom's Mini Site URLPlease enter your mini-site URL. If you do not know it, you can find it by entering an owned zip code on the website(s) through Find A Kona, or Find A Tom's.
Example: https://www.kona-ice.com/local-site/kona-ice-of-your-location
4
Social Media InformationProviding these details will help expedite our process and allow us to find, access, and start posting to your pages. Please note: If you do not provide your Instagram login information, you will not receive the eLead posts on your Instagram.
Facebook Page URL
Facebook Page Name
Instagram Username
Instagram Password
5
Please select the program you wish to participate in:* This field is required.
eLead Lite — $250 annual fee
eLead Plus — $500 annual fee
6
Please select which platform(s) you would like to run ads on:* This field is required.If your ad spend is not high enough to support two ad platforms, it will be allocated toward the platform that yields the highest performance.
No Preference
Google Ads
Facebook/Instagram Ads
7
Please provide your total MONTHLY ad spend:* This field is required.The recommended minimum monthly budget for eLead Plus is $300 per month. Setting your monthly budget below $300/month can impact performance and visibilty, ultimately resulting in a poor return on investment (ROI).
Total MONTHLY ad spend
8
What months would you like your ads to run?* This field is required.Please select all months you want your ads to be ACTIVE. YOUR ADS WILL BE TURNED OFF DURING ANY MONTHS YOU DO NOT SELECT.
March
April
May
June
July
August
September
October
November
December
January (of next year)
February (of next year)
9
Would you like your eLead enrollment to automatically renew each year?* This field is required.By selecting “YES” you understand that you will be charged for the eLead program on a reoccurring, annual basis at the then current rates unless and until you opt out of such automatic re-enrollment prior to the earlier of (i) the anniversary of the date on which you entered into this agreement or (ii) March 1st of the following year. See our Terms and Conditions listed at the end of this form for more information about automatic re-enrollment and opt-out. By selecting "NO" you will not be automatically re-enrolled in the eLead program, and thus a new sign up will be required the following year.
YESNO
10
eLead Program Checkout* This field is required.Your program selection below must match what you selected at the beginning of this form.
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ORDER SUMMARY
TaxUSD
SubtotalUSD
Total costUSD
eLead PlusOrganic + Paid Marketing
$500.00Edit
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eLead LiteOrganic Marketing Only
$250.00Edit
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Total cost $0.00
First Name
Last Name
11
ELEAD TERMS & CONDITIONS* This field is required.
12
Signature* This field is required.
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