Order Form

Customer Name* Customer Name*

Audience Name (enter a unique name to track your campaign)* Audience Name*

Email Address* your_email@address.com

Campaign Audience Size (minimum of 10,000) * Audience Size

Minimum Distance from POI Minimum Distance from POI

Maximum Distance from POI Maximum Distance from POI

Audience Filter Start Date Start Date

Audience Filter End Date End Date

Points of Interest to Include* Points of Interest to Include

Campaign Budget* Campaign Budget

If exact device matches are less than the desired audience size, would you like us to automatically increase the device pool size by including look-a-like audiences? Yes, based on interest similaritiesYes, based on demographic similaritiesPlease contact me with optionsNot at this time

Campaign objectiveMaximize outreach (fewer impressions per person, more total people contacted)Maximize exposure (more impressions per person, fewer total people contacted)Maximize budget (automatically adjust parameters to maximize total number of impressions)

Ad Campaign Start Date Ad Campaign Start Date

Ad Campaign End Date Ad Campaign End Date

Upload Creatives

I will submit my creatives laterI need help with my creatives

Additional Comments AdditionalComments

~No payment information needed at this time. You will be contacted with campaign confirmation details and payment will be via invoice~

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