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: