Advertisement Development Intake Form

Contact Name *

First

Last

Today's Date *

Please return to AVM within 5 business days from email sent.

Business Name *

Please use the end of form for additional locations.

Business URL *

Contact Email *

Best Contact Number # *

Street Location & Cross Roads

List the location of your business & closest intersections or points of interest/buildings for customers arriving at your location. Are you listed on Google My business?

What services/products does your business offer *

Advertising Goals

How does your business benefit the community?

Describe what your brand is known for? *

Please provide 5 messages of 5-7 words showcasing a product or service *

Up to (3 )brand colors in order of priority *

Do you offer specials you would like to showcase?

Hours of operation – example Monday 9am-10pm *

Do you offer ecommerce? Do you channel your customers to your website or storefront? *

Name, addresses, URL & contact info. for additional locations

Do you have a coupon code/incentive for this advertisement that you would like to use? *

Would you like a QR code developed for your advertisement? Please include the URL for the QR code

Images to use- please send us your logo& images. Email us at creative@atlasvirtualmedia.com 6-7 images (horizontal view) for your advertisements.

Describe the images and content

Are you interested in the following services with Atlas Virtual Media?

Location Based Advertising (100,000 impressions)
Indoor Digital Billboard Advertising
QR Code Creation
Other

How can we help?

Photography shoot of products
Content creation for advertisement
Phone/Zoom consultation for ad creation

I understand that ad creation will be completed within 5-7 business days, requiring approval of the business representative. Please type your name in box for signature. *

Which Social Media do you use? *

Contact Us with ANY Questions

Thank you for taking the time to fill out the Advertisement Creation Form. We appreciate your patience while ads are in creation. You can always reach the creative team at creative@atlasvirtualmedia.com It has been a pleasure to work with you.

I understand any specials or ad creation, outside of the 4x annual will incur a small fee. Please sign below *