New Customer Form

Contact information
who we can call if we have questions while setting up the account
Name *
Name
Your name or our point of contact.
Phone
Phone
Phone Number at Which We Can Reach You Directly
Business Information
not sure why or what we're asking? Give us a call: 801-203-0985
Full name of the business to be marketed.
Business Phone *
Business Phone
Number Customers Call
Business Texting Number
Business Texting Number
Number at which customers may send text messages. We can include an option for new customers to text this number for more information.
Business Address
Business Address
Provide the business address for the business that will be marketed for.
At what times is it okay for customers to call and receive a live person?
http://
Select All That Apply
Selecting or leaving these blank does not render you ineligible to receive our services.
How much do you want to budget for Google Adwords + Bing? We won't spend more than this. Does not include management expenses or price per impressions.
$
How much does the average customer spend when they purchase your product or services?
$
This helps us understand the intrinsic value of a customer to your business. Besides buying something, do they have potential value as a return customer or loyalty to your brand?
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Tell Us About Your Current Online Marketing
Tell Us About Your Current Online Marketing
My websites SEO (Search Engine Optimization) is well optimized.
I am very happy with the current design of my companies website.
My company website is user friendly.
I'm happy with our current online marketing efforts.
Our target customers are looking for the most affordable prices.
We offer the cheapest prices in the market.
We offer a premium service or product that's one of the best in the market.
This information will be displayed on some advertisements and helps set you apart from competition and gives customers an idea of your prices before clicking.
We'll use this to create specific ads to your business that will help set you apart from competitors and give customers an incentive.
By submitting this form, I agree that I have permission to authorize spending for the business in which I have listed above. I agree that I am liable for any and all Adwords, Bing or Facebook spending in behalf of my business or business that I am authorized to sign for. Furthermore, I agree that Moab Marketers LLC., shall not be liable for adwords spending that promotes Moab Marketers LLC, or any other business under the services of Moab Marketers LLC. Moab Marketers LLC, will not create a budget above what is set by the client (you, or authorizing business) in this form or otherwise agreed to, verbally or written. Future agreements to increase budget can be made verbally or written. Moab Marketers is not affiliated with or under control of Google, Inc., Bing (Microsoft, Inc.) or Facebook, Inc., Moab Marketers LLC, will not be liable for any injury, penalty or legal action taken by these companies or any legal action taken against them by clients or benefactors of Moab Marketers, past, present or future. Full legal and fiscal responsibility of the accounts managed by Moab Marketers rests fully upon the account owners, or the business for which the account was created. By submitting this agreement, you agree to the terms and conditions above, and that you have authorization written, verbal or otherwise to provide this information to Moab Marketers LLC., and confirm that it is correct to the best of your knowledge.
Date *
Date
Today's Date
Signature *
Signature