PAY-PER-CLICK (PPC) CUSTOMER INTAKE FORM

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

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

Competitor's Websites

Do you prefer to run your campaign 24/7?

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