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


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?
Does not include monthly management fee
What's your main advertising goal?*

Billing Information

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

Billing Address*

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