CLIENT INTAKE

Google Ads Intake Form

Please fill out this form. Once submitted our team will be in touch with you!

Name *

Business Name *

Business Email *

Phone Number *

Business Phone *

Website URL

What Google Ads Package Did You Purchase? *

Ad Budget — Monthly Amount You Want to Invest in Ad Spend *

Briefly Describe Your Business *

What Products/Services Will Be Advertised? *

Target Audience (Age, Gender, Location, Interests, etc.) *

Who Are Your Main Competitors? (Names or Websites) *

Do You Have a Google Ads Account Setup? *

YesNo

Do You Currently Run Google/YouTube Ads?

YesNo

If Yes, What's Your Current Monthly Ad Spend?

Any Additional Information or Requests?

I acknowledge that Ad Budget is not included in the package price and is paid separately.

I agree to Modern Business Marketing Terms & Conditions.

Form Submitted!

Thank you! Our Google Ads team will be in touch with you shortly.