PPC/SEM – INTAKE FORM

Is This A Brand New Account?
YesNo

Is Your Website Responsive & Mobile Friendly?
YesNo

Will You Be Using Call Tracking?

Will There Be Dedicated Landing Pages?

Do You Require us To Create the Page For You? (Landing Page Creation charges are additional)

Your Email (for leads to be sent to) ONLY if we are creating the page for you

Goal Of Your Campaign?




Tracking




Confirmation

Before You Submit, Please Check The Following: