GOOGLE ADS CONSULTATION

Business Name

Primary Contact Name

Business Email

Business Phone

Select an Address

Current Business Website

Current Social Media Sites

Upload Company Logo

Choose File

Preferred Start Date

Budget

What products or services do you SPECIFICALLY want to promote?

Are there any products or services that you SPECIFICALLY DO NOT want to promote?

Please list suggested keywords (if any).

Location Targeting - please list your selected locations (City, State, Zip Codes, Radius, Etc).

General Comments and Requests (i.e do you have any special offers to incentify browsers to visit your site?) i.e. XX% off, give aways, free quote, guarantees, unique selling features, lowest prices, same day delivery, 24 hour service, etc.

Who are your competitors?

Additional feedback/comments:

Signature: By signing below, you agree to provide a 30 day cancellation notice prior to cancellation of Premier Media's Google Ads services. The contract will begin on the first billing cycle after this agreement has been signed.

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