What is the desired start date for this campaign?*Note: We require a minimum of 10 business days from the date that you submit this form and all required assets are supplied. MM slash DD slash YYYY What is the value of a new customer to your business?What is the lifetime value of a new customer to your business? We use this to calculate campaign ROI. If left blank we will use a value of $100. What is the conversion rate of the leads coming into the business?Knowing the conversion rate helps us to calculate ROI based on leads generated for the business. Please specify the goal of this campaign?*Describe in your own words what results you would like for this campaign to achieve.What is your Website URL?*Please Note: Tracking code may need to be installed on your website and may be required for reporting. What is your Facebook page URL?*We will request admin access to your business page to run ads. What is your YouTube page URL? Where should we target?*Please provide target cities, addresses to blueprint, zip codes, or a mile radius around the business location.What is the special, promotion, or discount that the campaign will feature?*This is mandatory unless you are only seeking impressions.Please supply the top categories that describe the business’s products and services.*This helps us to build our campaigns and maximize results.What would make this campaign a success?*Help us understand exactly what would be considered a success in running this campaign. This helps us to ensure that we are meeting and exceeding campaign goals.Any additional notes or specific creative directions regarding this order submission?*Please share any additional information that you would like to communicate with us regarding the campaign.Creative FilesPlease send us a high definition logo, pictures, videos, and anything else you would like us to use. You may also drop them in a shared folder and send shared access info to admin@impactworks.com. Drop files here or Select files Accepted file types: jpg, png, gif, tif, eps, pdf, Max. file size: 300 MB. Asset Ownership Consent* I confirm...By checking this box I confirm that all files have been obtained legally and have copyright and ownership licensing. CAPTCHA Δ ShareShareTweetEmail