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Full name (required)
Your email (required)
Your Phone Number(required)
Business Name (required)
What would you like to edit? (Hold ctrl when choosing to select multiple) What edits would you like to make? Campaign ObjectivesCampaign DatesCampaign LocationMonthly BudgetDigital ServicesCreative NeedsDestination URLDemographicsGeo-fencing General LocationsTargeted WordsCampaign GoalRadio filesLogoCreatives from Clients
Campaign Objectives
Campaign Start Date
Campaign End Date
City(s)
State(s)
Zip Code(s)
Monthly Spending Budget
Digital Services: Over The Top AdvertisingGeo-fencing DisplayTargeted Social AdvertisingNew Website Build (requires additional form for design)Website Refresh (requires additional form for refresh details)Search Engine Optimization
Creative Needs: VideoDisplaySocial Post URL (social post for us to advertise, copy and paste desired post)
Destination URL (needed for all creative types, this is where the ad will send the click through if applicable)
Radio MP3: (if applicable to this campaign) (cannot exceed 6mb/6000kb)
Additional Radio MP3: (if applicable to this campaign)
Clients Logo: (add file)
Clients docs: (add file)
Clients Creatives: (if an advertisement is already made) (required)
Tactics Needed Demographic List (list desired targets)Geo-Fencing (list building/business name + addresses)Keywords to Target (list the main services/products of your client for us to target searches)
Demographics (Hold ctrl to multi select and ctrl+f to search dropdown) —Please choose an option—ageEducationEthnicityGenderPetsChildrenVehiclesCredit ScoreIncomeLease Ending SoonHome Square FootageHome TypeHome ValueNumber of BedroomsProperty SizeRecent Home buyerswimming PoolYear builtElderly ParentFamily PositionPolitical ViewVeteranInterestsRecent PurchasesSubscriptions(tv)IndustryProfessionWork LevelMilitary Branchstudentsdisabled
Students: Elementary SchoolMiddle SchoolHigh SchoolUnder GradGraduate
Military Branch: ArmyNavyAir ForceMarinesCoast Guard
Work Level: Part-TimeFull-TimeSupervisor/Team-LeadManagementAssistant Store ManagerGeneral ManagerOwner
Profession: Accounting / Billing ClerkActor / EntertainerInsurance AdjusterAdministration / ManagementAdvertisingAssistantExecutive AssistantOffice AssistantSchool AssistantStaff AssistantTechnical AssistantAnalystAppraiserArtistAuctioneerAuditorBankerBanker / Loan OfficerBanker / Loan ProcessorBookkeeperBrokerStock BrokerBuyerCashierCatererClaims Examiner / AdjudicatorClerkFile ClerkCollectorCommunicationsEnvironmentalistConsultantCoordinatorCustomer Service RepresentativeDesignerDetective / InvestigatorDispatcherDraftsmanEstimatorExpeditorFinanceFlight AttendentFloristGraphic DesignerHostess / HostInsurance AgentInsurance UnderwriterInterior DesignerJewelerMarketingMerchandiserModelMusicianRecruiterPhotographyPublic RelationsPublishingPurchasingQuality ControlRealtorReceptionistReporterResearcherSalesSales ClerkSecuritySurveyorTechnicianTelemarketerBank TellerTesterTranslatorTravel AgentUnion MemberWard ClerkWater TreatmentWriterAnimal GroomerApprenticeAssemblerPro AthleteAttendantAuto MechanicBakerHairdresserBartenderBinderBodymanBrakemanBrewerButcherCarpenterChefChild CareLaundry ServicesDeliProduceStockConductorConstructionCookCosmetologistCourier / DeliveryCrewmanCustodianCutterDock WorkerDriverBus DriverTruck DriverElectricianFabricatorFactory WorkerFarmerFinisher (Construction)FishermanFitterFood ServiceCrewleaderShop ForemanForestryFoundry WorkerFurrierLandscaperGlazierGrinderGrocerHousekeeperInspectorInstallerIronworkerJanitorJourneymanLaborerLinemanLithographerLoaderLocksmithMachinistMaintenanceMaintenance SupervisorMasonryMaterial HandlerMechanicMeter ReadingMillworkerMillwrightMinerMolderDriller (Oil)OperatorBoilermakerCrane OperatorForklift OperatorMachine OperatorPackerPainterParts (Auto Etc)PipefitterPlumberPolisherPorterPress OperatorPresserPrinterProductionRepairmanRooferSanitation / ExterminatorSeamstress / TailorSetupmanSteel WorkerShipping / CustomsSorterToolmakerTransportationTypesetterUpholsteryUtilityWaiter / WaitressWelderHealth ServicesArchitectChemistCuratorEngineerAerospace EngineerChemical EngineerCivil EngineerElectrical EngineerField EngineerIndustrial EngineerMechanical EngineerGeologistHome EconomistAttorney / LawyerLibrarianDoctor / PhysicianPastorPilotScientistStatistician / ActuaryVeterinarian
Industry: AgricultureBusiness / Professional ServicesConstructionCommunicationFinancial ServicesGovernmentHealthcare ServicesManufacturingMiningMiscellaneous Personal ServicesNon-Profit ServicesPersonal ServicesRetailSocial ServicesTransportationWholesaleTravel ServicesSOHO (Small Office HomeOffice)
Subscrptions(tv): NetflixAmazon Prime VideoHuluDisney+HBO MaxParmount+Other
Recent Purchases: Internet BuyerJewelry PurchaseMagazine BuyerMale MerchandiseMusical Instrument PurchaseClothing PurchaseVehicle Purchase
Interests: AerobicsArt and CraftsAstrology ReadingAuto / Motorcycle RacingAuto WorkAvid ReaderBaseballBasketballBible ReadingBird WatchingBoard GamesBoating / SailingBooks on TapeCamping / HikingCareer MindedCarsCasino / GamblingChildrenChildren ReadingChristian MusicCigar SmokingClassical MusicComputer GamesComputer ReadingCookbook ReadingCookingCountry Book ReadingCountry MusicCraftsCultural ArtsCurrent AffairsDiet Weight LossDo It YourselfEasy Listening MusicElectronicsEntertainmentEntertainment ReadingFamilyFashion ReadingFiction ReadingFishingFitnessFoodFootballGardeningGolfGourmet CookingGreat OutdoorsHealth Remedy ReadingHealthy LivingHigh Tech LeaderHistory ReadingHobbyistsHockeyHome DecorHome StudyHuntingInterior DecoratingJazz MusicKnittingLuxury LifeMedical ReadingMilitary ReadingMoviesMusicMusic PlayerMystery ReadingNASCARNews and FinanceReadingOnline EducationPhotographyQuiltingReligious ReadingRhythm and Blues MusicRock and Roll MusicRomance ReadingRunningScience Fiction ReadingScience SpaceScience TechnologyReadingSCUBA DivingSelf-ImprovementSelf-ImprovementSewingSnow SkiingSporting LifeSportsSports BettingSports ReadingSweepstakesTennisToysTV SportsVideo GamesWalkingWine AppreciationWoodworkingWorld News Reading
Political View: RepublicanDemocratIndependent
Family Position: ChildFemale head of HouseholdMale head of HouseholdGrandparentHusbandWifeOther
Year Built: Home Built Before 1900Home Built From 1900 - 1940Home Built From 1941 - 1950Home Built From 1951 - 1960Home Built From 1961 - 1970Home Built From 1971 - 1980Home Built From 1981 - 1990Home Built From 1991 - 1995Home Built From 1996 - 2000Home Built From 2001 - 2005Home Built From 2006 - 2010Home Built After 2010
Property Size: Property Less Than 0.25 AcresProperty Size Between 0.26 - 0.5 AcresProperty Size Between 0.51 - 0.75 AcresProperty Size Between 0.76 - 1 AcresProperty Size Between 1.01 - 5 AcresProperty Size Between 5.01 - 10 AcresProperty Size Between 10.01 - 20 AcresProperty Size Between 20.01 - 30 AcresProperty Size Between 30.01 - 40 AcresProperty Size Greater than 40 Acres
Number Of Bedrooms: Number of Bedrooms 0 BedroomsNumber of Bedrooms 1 - 2 BedroomsNumber of Bedrooms 3 BedroomsNumber of Bedrooms 4 BedroomsNumber of Bedrooms 5+ Bedrooms
Home Value: Less than $100,000Home Value $100,000 - $150,000Home Value $150,001 - $200,000Home Value $200,001 - $250,000Home Value $250,001 - $300,000Home Value $300,001 - $350,000Home Value $350,001 - $400,000Home Value $400,001 - $450,000Home Value $450,001 - $500,000Home Value $500,001 - $600,000Home Value $600,001- $700,000Home Value $700,001 - $800,000Home Value $800,001 - $1,000,000Home Value Greater than $1,000,000
Home Square Footage: 100-999sqft1000-1499sqft1500-1999sqft2000-2499sqft2500+sqft
Home Type: Single FamilyMultifamily (2-4 units)Multifamily (5+ units)ManufacturedOther
Vehicles: TruckMotorcycleAtvRvCarBoat
Credit Score: Very poor: 300-579Fair: 580-669Good: 670-739Very Good: 740-799Excellent: 800+
House-Hold Income: Less Than 35,000$35k-45k45k-55k55k-70k70k-85k85k-100k100k-150k150k-200k200k- 250k250k+
Age: —Please choose an option—Ages 18 - 24Ages 25 - 34Ages 35 - 44Ages 45 - 54Ages 55 - 64Ages 65 - 74Ages 75+
Education level: —Please choose an option—High School GraduatesSome CollegeCollege GraduatesGraduate School Graduates
Ethnicity: —Please choose an option—African AmericanAsianCaucasianHispanicNative AmericanMiddle Eastern
Gender: MaleFemale
Pets: DogCatOther
Children: OneTwoThreeFour+
Geo-Fencing General locations
Target Words
Campaign Goal Foot Traffic (input client's location(s)Calls Made (if client can place pixel on site)Forms Submitted (if client can place pixel on site)Purchases made (if client can place pixel on site)
Δ
Business Name
Business email
Business Website
Cancellation requests
Why are these services being canceled?
Your-email
Radio sites 91.0 ESPN93.7 The River94.1 ksky96.3 The Zone97.5 The Zone98.1 kbear99.9 kbear104.1 ESPN105.9 Classic Hits106.7 Planet
Edits
Any files being added by the client (optional)
Client Name:
Client Email:
Business Name:
Total Spend:
Existing Website if Applicable: (paste url)
Service Needed: Website BuildWebsite RefreshWebsite Management
Content Needed Clients LogoClients Mission StatementA paragraph per service/productAbout the business informationAbout the owner information - Bio + picturesMeet the team page - employee bio + picturesAreas servicedContact information (location, number, email, etc.)Hours of operation + DaysAny additional content (photos, videos, info, etc.)Any specific plug in or pages needed
all content from client added here
Additional info
Domain Login and Credentials
Hosting Plan Login and Credentials
Business email logins and credentials
Any additional creatives from client
Submit a ticket below to receive a sample for any creative type
Business Email:
Contact Number:
Business Logo:
Business Website:
Video Sample: MP3 (radio script)
Video Sample: Photos/Videos
Video Sample: What is the focus of the video?
Video Samples Additional Info
Display Sample: What is the message?
Display Sample: What services are we pushing?
Display Sample: Photos/content
Display Additional Info
Social Media Ad Sample: The post we are sampling
Social Media Ad Sample: Sample post url (paste)
Social Media Ad Sample: What is the client trying to accomplish?
Social Media Ad Sample Info: Desired call to action?
Business Website (required)
Campaign Objectives (required)
Campaign Start Date (required) (No forms can have a due date sooner than 5 business days out)
Campaign End Date (required)
City(s) (required)
State(s) (required)
Zip Code(s) (required)
Monthly Spending Budget (required)
How many ads are we making? Ad length (how long should the add be?) General creative direction: (what is the ad trying to communicate and achieve?) Call to action (Click Now, come in today, apply now, etc.) Additional Info Clients Logo: (add file) (required) Destination URL (needed for all creative types, this is where the ad will send the click through if applicable) Radio MP3/video: (if applicable to this campaign) (Hold ctrl to select multiple files) Clients additional images:(Hold ctrl to select multiple files) Clients Docs:(Hold ctrl to select multiple files) Tactics Needed Demographic List (list desired targets)Geo-Fencing (list building/business name + addresses)Keywords to Target (list the main services/products of your client for us to target searches)
Campaign Goal (Only one tracked at a time, select most important) Foot Traffic (input client's location(s)Calls Made (if client can place pixel on site)Forms Submitted (if client can place pixel on site)Purchases made (if client can place pixel on site)
Any Additional info
