Google Ads Intake Form

Please provide the following information so we can set up your Google Ads account. You may save the form & continue at a later date if you wish. The save and continue button is at the bottom of this form.

"*" indicates required fields

Name*

First Last

Your Business Name*

Business Email*

Business Phone Number*

What web page you want people to see after they click your ad?*

Consider what you are advertising, and enter the most relevant page of your website. This might be your homepage or a landing page.

What are all the locations you want to target?*

specific zip codes, cities, or regions

Who are your top competitors?

Monthly Ad Budget*

Does not include monthly management fee

What's your main advertising goal?*

Get more calls

Get more website sales or sign-ups

Get more visits to your physical location

Billing Information

Please enter credit card information that you would like to be used to pay for your Google Ads.

Name on Credit Card*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card Number*

Expiration Date

mm/yy

CCV Code*

Security number on back of card

*Google will charge you a temporary $50 authorization on your card, which is typically removed within a week.

*Google will charge you every 30 days or when you reach your billing threshold, whichever comes first. Learn more

Google Ads Intake Form

Billing Information

What’s the next step? It’s simple – contact us below to get started