Digital Advertising Creation & Content "*" indicates required fields BUSINESS INFOWhat is Your Budget for Digital Advertising?*Disclaimer: Please note that this digital advertising spend doesn't include the management fee and it will based on your total ad spend. Tier 1: $300 - $999 (1 platform) Tier 2: $1000 to $2999 (2 platforms) Tier 3: $3000+ (Up to 3 platforms) Expert's Choice Business Name*What is your business name that you would like displayed on the ads?Business Phone Number*This phone number will be displayed on the ads (including the landing page - if ordered).Business Email Address*This email will be displayed on the ads (including the landing page - if ordered). Business Website*This website will be displayed on the ads (including the landing page - if ordered). Example: https://digitaladvertisingcreation-content.yourdigitalagents.comBusiness Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country List any social media pages for your business that you would like included on the website.Facebooke.g. facebook.com/companyname Twittere.g. twitter.com/companyname Instagrame.g. instagram.com/companyname LinkedIne.g. linkedin.com/companyname Other Social Media CONTACT INFOBusiness Representative's Name*Business Representative's PhoneBusiness Representative's Email* Secondary Contact's NameSecondary Phone NumberSecondary Email What is the AGID for this business?Don't know this number? Your Business Representative will be able to supply this for you Ad Spend and BudgetCurrency*What currency are you paying us in?CAD - Canadian DollarsUSD - US DollarsWhich platform(s) would you like to advertise on?*As a note, your advertising budget determines the number of platforms upon which you can advertise. Tier 1 (Up to $1000) is allowed 1 platform, Tier 2 (Up to $2999) is allowed 2 platforms and Tier 3 (Over $3000) is allowed 3 platforms. Disclaimer: your budget will incur management fees based on the Tier of your spend allocation. Facebook/Instagram Google YouTube Display Retargeting What is the amount you would like to spend in total? * Please specify how much ad spend should be dedicated to each platform.What is the amount you would like to spend on Facebook/Instagram?($500+ minimum)What is the amount you would like to spend on Google?($300+ minimum)What is the amount you would like to spend on YouTube?($1000+ minimum)What is the amount you would like to spend on Display Retargeting?($1000+ minimum)This field is hidden when viewing the formThis is your total spend before our normal management upcharge.This will be your total cost for the Spend (Less than $1000) based on our normal management upcharge of 20%This will be your total cost for the Spend ($1,000-$2,999) based on our normal management upcharge of 15%This will be your total cost for the Spend ($3,000 and above) based on our normal management upcharge of 12%Facebook/Instagram GoalsPlease specify the goal of this FB/IG campaign?* Inbound Leads Quote Requests Brand Awareness Education Other What are your other goals?Google Ad GoalsPlease specify the goal of this Google campaign?* Inbound Leads Quote Requests Brand Awareness Education Other What are your other goals?YouTube Ad GoalsPlease specify the goal of this YouTube campaign?* Inbound Leads Quote Requests Brand Awareness Education Other What are your other goals?Display Retargeting Ad GoalsPlease specify the goal of this Digital Retargeting campaign?* Inbound Leads Quote Requests Brand Awareness Education Other What are your other goals?Expert Choice Campaign Ad SpendWhat is the amount you would like to spend on your Expert Choice campaign?This will be your cost for the Spend (Less than $1000) based on our normal management upcharge of 20%This will be your cost for the Spend ($1,000-$2,999) based on our normal management upcharge of 15%This will be your cost for the Spend ($3,000 and above) based on our normal management upcharge of 12%Please specify the goal of this campaign for our Expert?* Inbound Leads Quote Requests Brand Awareness Education Other What are your other goals? Let's get to know about your BusinessDescribe in your own words what results you would like for this campaign to achieve.Help us understand exactly what would be considered a success in running this campaign to ensure that we are meeting and exceeding campaign goals. Hint: traffic to your website, in-store traffic, phone calls, contact us form fills.Please Note: Tracking code may need to be installed on the advertiser website and may be required for reporting.List of top categories that describe the business’s products and services:What is the special, promotion, or discount that the campaign will feature?This is mandatory unless the advertiser is only seeking impressions. ADDITIONAL INFORMATIONShare a list of top 5-10 keywords that are relevant to your products/service offering.*Example: If I searched on Google for a car repair shop, what terms or keywords will help Google to show your ads *these keywords will be used as the base for your ads*List of competitor(s) by industry that offer similar/same products/services as yoursList of products/services that are not relevant to your businessList of products or services that are not offered by your business but can be offered by the industry you're in.Email - please enter your email here.*Once you have submitted this form, you will then be automatically sent a copy of the PDF to ensure form submission.