Salesperson Information
Name:
Email:
Phone:
EOD Due Date to Sales Person:


Client Information
Customer Name:
Customer URL:
Customer Location:
Client Summary/History:
What are your goals for a digital campaign?
How will you measure success on a digital campaign?
What makes up your current advertising mix?
In the past, what has worked well?
In the past, what has not worked well?
Is there a video (or mobile) strategy?
What type of conversion tracking does the customer want, or would they like use to recommend the best objectives?
What is the target audience?
Is GEO targeting requested?
Will the campaign use rich media?
Will the customer provide the necessary content for their ads?
Does customer need any graphic design services to create the ad content?
Does customer need any video production services to create ad content?


How much are you looking to invest in digital next quarter?
Who are the customer's competitors?
What can we help the customer learn more about in the digital space?


What is the monthly budget to start?
How many months will the campaign last?
What is the start date of the campaign?
What is the end date of the campaign?


What placements will be used for this campaign?
Please specify if Other:


Please include any additional information or comments :


Which standard size unit will be used?
How many display placements will be used?
How many video placements will be used?
Please enter the choice of size for each display placement:
Please enter the choice of size for each video placement:
Would you like to use VAST tags?


Please enter the customer representative's contact information
Representative's Name:
Representative's Email:
Representative's Phone:



All of the information entered will be used to create a final quote for the overall cost of the campaign. Please refer to price lists to add up all the requests entered into this for to generate an estimate for your client.




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