Google Adwords Setup Request

Complete this form if you and your website are ready for a Google Adwords campaign.

After we have received the form, we will be in contact with you to go over a few details and important need-to-know information.

  * Fields are mandatory
  * Please complete the fields below:
  Name & Surname of Account Owner:
  Website Name:
  Contact Email Address:
  Contact Number:
  * Which products / services do you want to advertise?
  * List at least 7 of the most important keywords that you would like to be found with on Google:
  * In which areas do you want your ads to show?
  * Please select an ad schedule or select "Other" for custom times (we will contact you for custom times):
  Mon - Sun, 24/7
  Mon - Fri, 08:00 - 17:00
  Mon Fri, 08:00 - 20:00
  Mon - Sun, 08:00 - 20:00
  * How much ZAR would you like to spend daily?
  * Do you have a credit / debit card for online international transactions (to Google)?

Card Details for online payments to Google.

We will make online payments to Google for the actual ad spend using your card details. These details are confidential and kept safe. Payments are made according to your daily budget and ad schedule, normally once a month in the beginning of the month.

  Card Type
  Card Number
  Cardholder Name
  Expiration date on card (dd/mm)

For security reasons we will contact you for the CVC number on the back of the card.

  Full address at your credit institution for this card