PAY-PER-CLICK (PPC) CUSTOMER INTAKE FORM - Agenda Media Group

PAY-PER-CLICK (PPC) CUSTOMER INTAKE FORM

PLEASE FILL OUT THE FOLLOWING INFORMATION TO GET STARTED WITH YOUR PPC CAMPAIGN.

Step 1 of 9 - BUSINESS INFORMATION

BUSINESS INFORMATION
Business Name*
Business Address*

GENERAL INFORMATION
Website URL
Monthly Advertising Budget

GEOGRAPHIC TARGET MARKET

Please complete as much of the following information as possible.
Target Countries*
Target States*
Target Cities*
Additional GEO Target Comments

PRIMARY PRODUCTS & SERVICES
1st Priority Product/Service*
2nd Priority Product/Service
3rd Priority Product/Service

PPC CAMPAIGN DIRECTION
What type of campaign are you interested in launching?*
List of Primary Targeted Keywords
Keyword Modifiers
Competitor's Websites
Do you prefer to run your campaign 24/7?
- Yes
- No
What do you consider a conversion? Which type of conversion is most valuable to you?*
- We just want traffic
- Fill out a contact form
- Phone call
- Other
- Make a purchase online
- Downloads
- Location Visit
What is the value of your average customer?
What is the average value of a lead?
How much are you willing to spend to acquire a lead or sale?

ADWORDS ACCOUNT ACCESS

Provide the following information if there is an existing PPC Account you currently manage and/or have access to that you would like us to manage for you.
Google Adwords Customer ID
Username
Password

GOOGLE ANALYTICS ACCESS

Provide the following information if there is an existing Google Analytics account you currently manage and/or have access to that you would like us to use in conjunction with your PPC account.
Username
Password

CMS / WEBSITE ACCESS
URL Address
Username
Password

REPRESENTATIVE CONTACT INFO
Full Name
Phone Number
Email Address