New OmniRetargeting Request

"*" indicates required fields

Paid Invoice Number*

Your Agency Name*

Is this your first Omni client with us?*

Yes

Your Name:*

First Last

Your Email*

This email will get you access to Adroll (to enter End-Client payment info + to get instructions on Adding Tracking Pixel to client site)

Please provide Agency email id to share a Google DriveFolder.*

For you to share assets we need, DO NOT Share with end-client, if you want to keep service fully white-label

Phone Number*

I confirm I have given Facebook Business Manager Account Kt512x Business Manager ID: 495525855470903, Admin access to my Business Manager account.*

Yes

No (By choosing No, you accept that retargeting will not capture Facebook/Instagram display platform)

I confirm I have Admin Access to my Client's Facebook Ad Account and Facebook Page through my Business Manager Account*

Yes

No (By choosing No, you accept that retargeting will not capture Facebook/Instagram display platform)

Consent*

I have read, understood and agree with terms of service

Client Business Name*

Client Website URL*

Please provide the list of URLs visited you wish to Retarget*

Please provide destination landing Page URL*

What resources will you be providing us for Ads?*

Videos, Logo, Images, etc.

What is your ad spend budget?*

Please enter a number greater than or equal to 250.

Min: $250/month

Product/Service being promoted*

The USP or offer you would like to use for the retargting*

Call To Action*

Admin access given to gagtm@kt512x.com

Google Tag Manager (GTM)

Google Anayltics (GA)