Market* Please select one Alaska Amarillo Aurora Austin-Albert Lea Bakersfield Bethany-Cameron Brookings Canton Columbia Columbus Corporate Crystal Lake Dayton East Texas Fairfield Far East Bay Farmington-Festus Fort Dodge Fredericksburg Grays Harbor Grinnell-Newton Hagerstown-Chambersburg Jackson Joliet Lincoln Louisville Lubbock Luverne Madison Mankato Mason City Moberly North Dallas Palm Springs Portland Redwood Falls Saginaw Salt Lake City San Antonio San Jose Shreveport Topeka Watertown Waukegan-Kenosha Waynesville-Lebanon Wenatchee
AE Name*
AE Email Address*
AE Phone Number*
Manager's Email Address*
Client's Business Name* Please spell out the company name, no abbreviations.
Client Website* If your client has no website and is requesting a new build, put N/A
Total Investment from Client* This is the total campaign price, NOT per month.
Do NOT use the $ character but enter just the value.
Alpha Revenue (Does NOT include Hard Costs)* The portion Alpha keeps; how much you writeup on your Alpha order. Do NOT use the $ character but enter just the value.
Total Hard Cost to Gulf Coast*
Order ID # (Wide Orbit or Marketron)*
Did anyone at GCW help you during the sales process?* N/A Tate Burch Athena Gipson Kerry Parks Caroline Blackmon
Digital Order Form Submission Date* Today's Date
MM slash DD slash YYYY
Select your Gulf Coast Services:* Menu Up Menu Up Start Date*
MM slash DD slash YYYY
Menu Up End Date*
MM slash DD slash YYYY
Logo File Menu PDF File File should be in the order you'd like to see it appear on the digital menu
Enter setup fee - $100 1x hard cost
Enter hosting cost - $35/month hard cost
Lookback/Geofence Impression Goal*
Geofence Addresses* If you have more than 5 fences, please fill out on an excel or Google spreadsheet and attach to the VCreative order.
Are you using Lookbacks?* How far back should the lookbacks go? (up to 2 years)*
If you are targeting events, please provide event dates and times.
Lead Program Enter total hard cost ($550 Hard Cost)*
Quantity of Emails (10k minimum)*
Tentative Start Date*
MM slash DD slash YYYY
Enter geographic targeting area* May enter radius, counties, cities, states, or country
Email subject line*
Enter information for the "From" Line of the email*
Email of person who should receive test email*
Email of person who should receive the hot leads*
Upload Zip of Email Creative MLS Targeting MLS Targeting Start Date*
MM slash DD slash YYYY
MLS Targeting End Date*
MM slash DD slash YYYY
MLS Targeting Impressions*
MLS Targeting Hard Cost
MLS Targeting Audience* Open House Homes Listed for less than $200,000 Open House Homes Listed between $200,000 - $500,000 Open House Homes Listed between $500,00 - $1,000,000 Open House Homes Listed for more than $1,000,000 All Open Houses
MLS Targeting Geo* Zip Code(s) City DMA State
Enter information for Geo to Target listed above*
Video Advertising Service Description: Video advertising to run on YouTube, Facebook, or within Google Display. Videos are a great way to increase search engine rankings and are engaging.
Select Video Campaign Type:* Target Start Date* Please allow up to 5 business days to build campaign, write ads, & obtain approval
MM slash DD slash YYYY
Target End Date*
MM slash DD slash YYYY
Total Impression Goal* This is total for the campaign duration, NOT per month
Total View Goal* This is total for the campaign duration, NOT per month
Do you need help calculating your hard cost based on your impression goal?* Do you need help calculating your hard cost based on your view goal?* Was this sold at the $14 CPM rate to Gulf Coast?* Was this sold at the $.12 CPV rate to Gulf Coast?* Calculated Video Hard Cost to Gulf Coast This field will automatically display when your impression goal is completed
Calculated Video Hard Cost to Gulf Coast This field will automatically display when your view goal is completed
Custom Video CPM Rate to Gulf Coast*
Custom Video CPV Rate to Gulf Coast*
Custom Video Hard Cost to Gulf Coast This field will automatically display when your impression goal is completed
Custom Video Hard Cost to Gulf Coast This field will automatically display when your impression goal is completed
Video Hard Cost to Gulf Coast* This is total for the campaign duration, NOT per month
Video Hard Cost to Gulf Coast* This is total for the campaign duration, NOT per month
Website or URL to be promoted*
Does the Client have a YouTube Channel?* If no, Gulf Coast Web will host on a generic channel.
Video URL on Client's Channel* If your client is self-hosting please include the URL here.
Enter geographic targeting area* May enter radius, counties, cities, states, or country
Campaign Goals* For example, Brand Awareness, Relevance in Search Results, Improve Online Reputation, increase Website Visits, or promote a special event, sale or promotion. Include measurable metrics.
Alpha Digital Platinum Plan Combined digital tactics for maximum results. By using 3 of the most powerful networks online we’ll be sure your business is placed in specific searches in front of the right client at the right time. Includes SEM, Display Ads, & Mobile Geofencing Ads w/ monthly reporting.
For display and search campaigns, Google has started to require verification of the business through the business' W9.
You will need to upload the business' W9 in your VCreative order. Target Start Date* Please allow up to 5 business days to build campaign, write ads, & obtain approval
MM slash DD slash YYYY
Target End Date*
MM slash DD slash YYYY
Enter geographic targeting area* May enter radius, counties, cities, states, or country
Campaign Goals* For example, Brand Awareness, Relevance in Search Results, Improve Online Reputation, increase Website Visits, or promote a special event, sale or promotion. Include measurable metrics.
Who is creating the graphics?* Alpha Digital Gold Plan Combined digital tactics for maximum results. By using 2 of the most powerful networks online we’ll be sure your business is placed in specific searches in front of the right client at the right time. Includes SEM, Display, & Retargeting Ads w/ monthly reporting.
For display and search campaigns, Google has started to require verification of the business through the business' W9.
You will need to upload the business' W9 in your VCreative order. Target Start Date* Please allow up to 5 business days to build campaign, write ads, & obtain approval
MM slash DD slash YYYY
Target End Date*
MM slash DD slash YYYY
Enter geographic targeting area* May enter radius, counties, cities, states, or country
Geofencing Field* Add Your Geofence Addresses below
Campaign Goals* For example, Brand Awareness, Relevance in Search Results, Improve Online Reputation, increase Website Visits, or promote a special event, sale or promotion. Include measurable metrics.
Who is creating the graphics?* Google Display For display and search campaigns, Google has started to require verification of the business through the business' W9.
You will need to upload the business' W9 in your VCreative order. Google Display Packages* All display campaigns run on mobile as well as desktop by default.
Website or URL to be promoted*
Target Start Date* Please allow up to 5 business days to build campaign, write ads, & obtain approval
MM slash DD slash YYYY
Target End Date*
MM slash DD slash YYYY
Total Impression Goal* This is total for the campaign duration, NOT per month
Display Hard Cost Total* This is total for the campaign duration, NOT per month
Geofencing Field* Add Your Geofence Addresses below
Are you using Geofencing Conversion Zones?* Geofencing Conversion Zone Addresses* Please include an address or list of addresses here, for example, "1211 SW 5th Ave, Portland, OR 97204." Please include business names if applicable.
Campaign Tactics (Select all that apply) Who is creating the graphics?* Enter geographic targeting area* May enter radius, counties, cities, states, or country
Campaign Goals* For example, Brand Awareness, Relevance in Search Results, Improve Online Reputation, increase Website Visits, or promote a special event, sale or promotion. Include measurable metrics.
Landing Page Hard Cost Total* There is a $75 Hard Cost Per Month
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Email of the person that should receive the form emails*
Text/Content to Appear on Landing Page*
Logo/Images to Include on Landing Page
Mobile Advertising Mobile Packages* Target Start Date* Please allow up to 5 business days to build campaign, write ads, & obtain approval
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Total Impression Goal*
Identify your weather zone triggers* For example, wind advisories, hurricanes, snow alerts, extreme temperature changes etc.
Geofence Addresses*
Geotargeting Area* For example, certain mile radius
Do you want conversion zones/store visits setup? Conversion Zones*
Who is creating the graphics?* Website Design & Management Service Description: Having a mobile-friendly & search engine-friendly website is essential in customers finding you. There’s a lot to consider when developing a website. From aesthetics to the latest technology, we have teams trained to create a site that provides an optimal viewing experience across a wide range of devices, including mobile, which is now the leading device for online search Our websites are built with digital marketing and usability in mind.
Client's Name*
First
Last
Client Phone Number*
Client's Email*
Website Design Packages* All packages with hosting include backups, security, and 1hr content management.
Website Design Hard Cost* This is the amount paid to the digital team for construction.
Website Hosting & Management Hard-Cost (Total) This is the amount paid to GCW for monthly website services
How many months of hosting?*
Please attach proposal with details of what was sold* Social Media Service Description: Our social media advertising services help you generate immediate results on social media. We connect your products or services to thousands of people who may be interested in them.
Social Total Impression Goal (NOT per month goal)*
Do you need help calculating your hard cost based on your impression goal?* Was this sold at the $6 CPM rate to Gulf Coast?* Social Hard Cost to Gulf Coast This field will automatically display when your impression goal is completed
Custom Social CPM Rate to Gulf Coast*
Social Hard Cost to Gulf Coast This field will automatically display when your impression goal is completed
Social Hard Cost to Gulf Coast*
Target Start Date* If running Facebook Ads, please allow up to 5 business days to build campaign, write ads, & obtain approval
MM slash DD slash YYYY
Target End Date*
MM slash DD slash YYYY
Social Category* If you want to split impressions between Facebook and Snapchat please indicate the split in the additional notes section.
Campaign Objective (For Social Ads Only)* Who is creating the graphics?* Search Marketing
Service Description: Shine in the right places. Go from outdated to updated - search engines are
the new yellowpages. Search engine marketing drives the right customers to your business and turns searches into revenue. All plans include call tracking, weekly campaign optimization, & monthly reporting.
Search Package* Website or URL to be promoted*
Target Start Date* Please allow up to 5 business days to build campaign, write ads, & obtain approval
MM slash DD slash YYYY
Target End Date*
MM slash DD slash YYYY
Campaign Goals* For example, Brand Awareness, Relevance in Search Results, Improve Online Reputation, increase Website Visits, or promote a special event, sale or promotion. Include measurable metrics.
SEM For display and search campaigns, Google has started to require verification of the business through the business' W9.
You will need to upload the business' W9 in your VCreative order. SEM Plan* Would you like to use call tracking?* We'll use a local number if available
Please add product(s), service(s), specials or events to be promoted
Enter geographic targeting area May enter radius, counties, cities, states, or country
Monthly Ad Spend Budget (To Google) - Not included as part of the hard cost to GCW*
IMPORTANT - Credit card must be on-file with Alpha Media. Client will be billed directly from Google.
Attach Credit Card Authorization Form to your VCreative order or ticket. CAMPAIGNS CANNOT START WITHOUT CREDIT CARD AUTHORIZATION
SEM Campaign Total Hard Cost to Gulf Coast Web (NOT monthly)*
SEO SEO Hard Cost to Gulf Coast*
Business Category* Automotive, restaurant, dentist, plumber, etc
5-10 Targeted Keywords*
Reputation Management & Marketing Includes review monitoring, and review generation email & SMS campaign, review microsite, and customer "check in"
Select Top 2 Platforms To Focus Review Generation On* Other
Enter email address below to send review notifications too.*
Additional Add-Ons Lead Generation - Calls, Texts, Store Visits with Geo-Fencing Drive store visits, calls, texts, and form fills for your client. Guaranteed Facebook reach, proof of performance and ROI reporting.
All inclusive costs including AdSPend. These services will have the entire hard cost billed to Gulf Coast Web.
Lead Generation Packages:* These services will have the entire hard cost billed to Gulf Coast Web.
Target Start Date*
MM slash DD slash YYYY
Target End Date*
MM slash DD slash YYYY
Website or URL to be promoted*
Would you like to use call tracking?* We'll use a local number if available
Who is creating the graphics?* Enter geographic targeting area* May enter radius, counties, cities, states, or country
Campaign Goals* For example, Brand Awareness, Relevance in Search Results, Improve Online Reputation, increase Website Visits, or promote a special event, sale or promotion. Include measurable metrics.
Additional Comments If you can’t find the option you need please include the information in the additional notes section
Any Additional Notes or Comments
Email This field is for validation purposes and should be left unchanged.