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Image Advertisement Request Google Form Template
Please complete this form to submit your ad creative request. Providing detailed information helps our team deliver your assets faster.
* Indicates required question
Email
*
Record my email address with my response
Contact Person
*
The primary point of contact for this ad request.
Your answer
Email Address
*
Where we should send updates regarding your ad request.
Your answer
Company Name
*
The name of the brand or company the ad is for.
Your answer
Ad Size / Dimensions
*
Specify the required dimensions (e.g., 300x250, 1080x1920).
Your answer
Media Channel
*
Where will this advertisement be published?
Social Media (Instagram/Facebook)
Google Display Network
Email Newsletter
Print/Direct Mail
Other
Required
Campaign Goal
*
What is the primary objective of this ad?
Brand Awareness
Lead Generation
Direct Sales/Conversion
Event Promotion
Creative Assets Link
*
Please paste a link to your folder (Google Drive, Dropbox, etc.) containing logos, images, or brand guidelines.
Your answer
Copy / Text Requirements
*
Include any headlines, body copy, or call-to-action text to be included in the image.
Your answer
Deadline
*
When do you need the final creative delivered?
MM
/
DD
/
YYYY
Send me a copy of my responses.
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