Advertising Questionnaire Fill out this questionnaire so we can start building your ad campaign. Advertising QuestionnairePlease enable JavaScript in your browser to complete this form.Name *FirstLastBusiness Name *Today's Date *Choose Campaign Type *Multi-Touch Digital AdsGoogleFacebook/InstagramPay-Per-LeadLSAMonthly Budget *Legal Business Name *DBA Name *Address Associated With The Business *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you have insurance? *YesNoAre you licensed? *YesNoLicense Type *License Number *License Expiration Date *Enter phone number merchant wants displayed on the ad *Does merchant have a verified GBP? *YesNoIs TAPLocal building a GBP for the merchant? *YesNoUpload proof of insurance (if applicable) Click or drag files to this area to upload. You can upload up to 5 files. Which campaign type did you choose? *TrafficCross-ChannelReach & FrequencyLeadsWhy did you choose this ad type? *Which platforms do you want the ad to be on? *Google SearchBingFacebookInstagramDisplay networkPlease confirm that merchant has added [email protected] to their GMB *Yes, [email protected] has been added to the GMBNo, merchant does not have access to their GMB but understands we cannot launch the ad until we have accessTAPLocal is building the merchant a GMBDoes merchant have a website? *YesNoEnter merchant's website *Which primary action do you want customers to take? *Call youSubmit lead formBook appointments onlineVisit physical locationeCommerceKey Service/Product #1 *Key Service/Product #2 *Key Service/Product #3 *Key Selling Point #1 *Key Selling Point #2 *Key Selling Point #3 *Who do you want to target with your campaign? (Specific demographics - age, income, interests, occupation, marital/parental status) *Where do you want your campaign to run? (Specific locations) *Which promotion(s) are you willing to offer to entice customers to engage with your company (cost savings, free consultation, or complimentary service)? *Does the merchant have a landing page? *YesNoWho built the landing page? *TAPLocalMerchantDo we need to build a landing page for the merchant? *YesNoWhat is the URL of the landing page? *What are the login credentials for the merchant's website builder? *Does the merchant have a Facebook page? *YesNoDoes TAPLocal need to build a Facebook page? *YesNoDoes merchant have administrative access to the Facebook page? *YesNoHow will merchant provide us access to their Facebook page? *Merchant will add us as a partner in Business ManagerTAPLocal will send a request for access and merchant will accept that requestTAPLocal needs to build a Facebook pageSubmit