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Google Ad Intake Form
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Business Name
Your answer
Business Address
Your answer
Website URL
Your answer
Monthly Advertising Budget
Your answer
Targeted Country
Your answer
Targeted State
Your answer
Targeted City
Your answer
Targeted City Radius
Your answer
Additional GEO Targeting Comments
Your answer
Primary Products & Services
Your answer
What type of Google Ad Campaign?
Google Search Ad
Google Display Ad
Both
Not Sure
Clear selection
List of primary keywords
Your answer
Competitor Websites
Your answer
When do you wish to run your campaign?
24/7
M-F 8am-5pm
Weekends Only
Other
Clear selection
What do you consider a conversion? Which is most valuable to you?
We just want traffic
Contact Form Submission
Phone Call
Make A Purchase Online
Downloads
Local visit
Other
What is the value of your average customer?
Your answer
What is the average value of a lead?
Your answer
How much are you willing to spend to acquire a new lead or sale?
Your answer
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