IO DEV • ST Digital Solutions • Digital Marketing Services

(Billing and Operational Fulfillment)

1Salesperson & Business Info

2Products & Services

SALESPERSON INFORMATION
Your Name*
Your Email*
Division*
Are you the DSM?*
- Yes
- No
DSM Email*
AE Name*
Full Name
AE Email*
New Order, Change Order, or Cancellation?*
Change Order (Breakdown of changes to Invoice and associated costs, including start/stop dates)
Cancellation (Provide explanation for cancellation and information on Invoice/Cost/Dates)
BUSINESS INFORMATION
Client Name*
Website

Billing Contract Number*
All Products*
- Directory Listings - Yext
- Display Banners
- Digital Out of Home (DOOH)
- Email Management and Set Up
- Graphic Design and Branding
- Native Advertising
- Online Video
- Photography
- Review Builder
- Search Engine Marketing
- Social Media Ads
- Social Media Management
- Station Owned and Operated Website: Video, Display, Email Promotions or Other
- Streaming Audio
- Streaming TV
- Targeted Email
- Video Production
- Website Development
- Website Hosting & Domain Purchasing
NATIVE ADVERTISING
NATIVE ADVERTISING
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Grandfathered
Enter commission rate:*
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Monthly Invoice Amount
Spend on Platform*
Number of Impressions
Please specify total impressions below in Notes. Include total for each month in contract.
Will this campaign be tracking footfall?*
What is the target zone address or addresses for footfall reporting (include specific dates if footfall tracking is not continuous through campaign)*
Are you using a container tag to track online conversions?*
What online conversion do you want tracked?*
Please specify the specific conversions you want to track (Specific URL visits, form fills, button clicks, etc.)
What is the landing page url?
Buyer CPM ($5 CPM or $6 CPM with Footfall)
Advertiser CPM
Audience Targeting and Geographic Target
Zip codes, radius, county, DMA, state, or country.
Comments
Add more
SEARCH ENGINE MARKETING
SEARCH ENGINE MARKETING
Advertiser/Business Profile Business Name
Advertiser/Business Profile Website
Advertiser/Business Profile Address
Client Contact Name
Client Contact Phone
Client Contact Email
Start Date
End Date (or Ongoing)
How many cycles are we purchasing?
Platform Spend Amount
Client Invoice Amount
Campaign Goal/Focus
Does the client want to highlight any specific service, offering, product, etc?
Business Category
Business Sub-category
Geography Targeting Type
- Radius
- Zip Code
- City
- DMA
- Country
Area Code Preference
Phone number provisioning.
CaptureCode Compatibility
- Yes
- No
Franchise
- Yes
- No
CAPTCHA
- Yes
- No
Tracked Website Conversion Events
- URLs to track
- Form Submissions
- Clickable buttons
- Specific phone numbers
URLs to Track
Include all URLs - be specific.
Form Submissions
Provide page urls where the forms are located.
Client providing keywords?*
- Yes
- No
Estimate Average Transaction Value
Notes
(Any specific keywords or additional instructions)
Add more
DIRECTORY LISTINGS - YEXT
DIRECTORY LISTINGS - YEXT
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Grandfathered
Enter commission rate:*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Set Up Fee Per Listing*
Total Amount of Listings on this I/O*
Monthly Invoice Amount Per Listing (Basic Professional)*
Spend on Platform per listing*
Listing Breakdown - Include names of listing(s) and any add-ons with amount attached to each listing*
Add more
SOCIAL MEDIA MANAGEMENT
SOCIAL MEDIA MANAGEMENT
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Grandfathered
Enter commission rate:*
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Monthly Invoice Amount
Vendor Cost
Repeating Monthly (yes or no)
Notes for Invoicing
Add more
WEBSITE DEVELOPMENT
WEBSITE DEVELOPMENT
Client Invoicing - Select One (50% deposit, final payment or in-full)
- 50% deposit
- final payment
- in-full
Invoice Amount for this Invoice (should match selection above)
Developer Name
Vendor Developer Cost - Select One (50% deposit, final payment or in-full)
- 50% deposit
- final payment
- in-full
Vendor Developer Cost for this Invoice (Should match selection above)
Vendor - Graphic Designer Name
Vendor - Graphic Designer Cost - Select One (50% deposit, final payment or in-full)
- 50% deposit
- final payment
- in-full
Vendor - Graphic Designer Cost (Should match above selection)
Vendor - Copywriter Name
Vendor - Copywriter Cost - Select One (50% deposit, final payment or in-full)
- 50% deposit
- final payment
- in-full
Vendor - Copywriter Cost (Should match above selection)
Additional Notes
Include exact description to be included on invoice line item if unique.
Add more
WEBSITE HOSTING
WEBSITE HOSTING
Start Date
MM slash DD slash YYYY
Developer who is managing the site - Vendor
Client Invoice - Select One (50% deposit, final payment or in-full)
- 50% deposit
- final payment
- in-full
Client Invoice Amount
Hosting Cost - Select One (50% deposit, final payment or in-full)
- 50% deposit
- final payment
- in-full
Vendor Cost
Migration Client Invoice Amount (if applicable)
Migration Cost (if applicable)
Are we purchasing a domain for your client? (specify below url and cost below)
blank space for notes and dates
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REVIEW BUILDER
REVIEW BUILDER
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Grandfathered
Enter commission rate:*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Set Up Fee Per Listing*
Total Amount of Listings on this I/O*
Monthly Invoice Amount Per Listing (Basic Professional)*
Spend on Platform per listing*
Listing Breakdown - Include names of listing(s) and any add-ons with amount attached to each listing*
Add more
GRAPHIC DESIGN AND BRANDING
GRAPHIC DESIGN AND BRANDING
What has the client purchased (Include exactly what should be entered on invoice for client)
Vendor Name
50% deposit or paid in full (check one or the other)
- 50% deposit
- paid in full
Client Invoice Amount (Should Match Selection Above)
Vendor - Designer Cost (Should match selection above)
blank space for notes and dates
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PHOTOGRAPHY
PHOTOGRAPHY
Invoice Amount
Vendor Cost
Specify what the client purchased exactly for Invoice
Upload vendor invoices here. (Put estimate in notes if no vendor invoice submitted)
Drop files here or

Max. file size: 50 MB.
Notes
Add more
VIDEO PRODUCTION
VIDEO PRODUCTION
Invoice Amount
Vendor Cost
50% deposit or paid in full (click one)
- 50% deposit
- paid in full
What exactly are we producing?
blank space for notes and dates
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EMAIL MANAGEMENT
EMAIL MANAGEMENT
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Amount
Grandfathered
Enter commission rate:*
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Client Invoice Amount
Setup Fee
Blank space for notes and information
Add more
TARGETED EMAIL
TARGETED EMAIL
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Grandfathered
Enter commission rate:*
Campaign Landing Page URL
Platform Spend Amount
Invoice Amount
Vendor Cost
Number of emails purchasing
Campaign deployment dates
Notes
List drop dates for multiple months.
Add more
STATION OWNED AND OPERATED END
STATION OWNED AND OPERATED WEBSITE: VIDEO, DISPLAY, EMAIL PROMOTIONS OR OTHER
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Grandfathered
Enter commission rate:*
How is the campaign sold?
Invoice Amount
What is the landing page url?
Additional Notes
Include exact description for invoice line item
Add more
SOCIAL MEDIA ADS
SOCIAL MEDIA ADS
SOCIAL MEDIA ADS - Campaign Name
Agency Gross Monthly Invoice (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Monthly Invoice Total Net Agency (if applicable)
First month of billing. List separate monthly amounts in notes below for multiple months.
Grandfathered
Enter commission rate:*
Monthly Invoice Amount
Monthly Spend on Platform*
Number of Impressions
Please specify total impressions below in Notes. Include total for each month in contract.
Buyer CPM ($28 and $29 with footfall)
Advertiser CPM
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Will this campaign be tracking footfall?*
What is the target zone address or addresses for footfall reporting (include specific dates if footfall tracking is not continuous through campaign)*
Are you using a container tag to track online conversions?*
What online conversion do you want tracked?*
Please specify the specific conversions you want to track (Specific URL visits, form fills, button clicks, etc.)
Website URL we are targeting:
What is the landing page url?
Notes (Specify tactic(s) and impressions per tactic)
If multiple months with multiple tactics, please provide link to spreadsheet with breakdown.
Audience Targeting and Geographic Target
Zip codes, radius, county, DMA, state, or country.
Specific Dates
file upload section
Max. file size: 50 MB.
Add more
DISPLAY BANNER
DISPLAY BANNER
Display Banners Tactics*
- Targeted Impressions
- Website Retargeting
- Geofence (delivering ads to users while they are in the location)
- Geoframe Retargeting (delivering ads to users after they have left the location)
- Custom Audiences (CRM targeting, addressable)
- Contextual Keyword
- Weather Trigger
- Social Mirroring
Agency Gross
Net Invoice Amount
Grandfathered
Spend on Platform*
Number of Impressions
Please specify total impressions below in Notes. Include total for each month in contract.
Buyer CPM
Advertiser CPM
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Will this campaign be tracking footfall?*
What is the target zone address or addresses for footfall reporting (include specific dates if footfall tracking is not continuous through campaign)*
Footfall Tracking Date Option*
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Footfall Target Address*
Footfall Notes
Are you using a container tag to track online conversions?*
What online conversion do you want tracked?*
Please specify the specific conversions you want to track (Specific URL visits, form fills, button clicks, etc.)
What is the landing page url?
Geographic Target
Zip codes, radius, county, DMA, state, or country.
Audience Targeting
Zip codes, radius, county, DMA, state, or country.
Target Address*
Geofence and Geoframe Target Address
Weather Event Target(s)
Notes and Comments
Add more
DOOH
DOOH
Digital Out of Home (DOOH) Tactics*
- Targeted Impressions
- Website Retargeting
- Geofence (delivering ads to users while they are in the location)
- Geoframe Retargeting (delivering ads to users after they have left the location)
- Custom Audiences (CRM targeting, addressable)
- Contextual Keyword
- Weather Trigger
- Social Mirroring
Agency Gross
Net Invoice Amount
Grandfathered
Spend on Platform*
Number of Impressions
Please specify total impressions below in Notes. Include total for each month in contract.
Buyer CPM
Advertiser CPM
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Will this campaign be tracking footfall?*
What is the target zone address or addresses for footfall reporting (include specific dates if footfall tracking is not continuous through campaign)*
Footfall Tracking Date Option*
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Footfall Target Address*
Footfall Notes
Are you using a container tag to track online conversions?*
What online conversion do you want tracked?*
Please specify the specific conversions you want to track (Specific URL visits, form fills, button clicks, etc.)
What is the landing page url?
Geographic Target
Zip codes, radius, county, DMA, state, or country.
Audience Targeting
Zip codes, radius, county, DMA, state, or country.
Target Address*
Geofence and Geoframe Target Address
Weather Event Target(s)
Base or Premium?*
- Base
- Premium
Venues*
- Dining and entertainment
- Health and Wellness
- Movie theaters
- Residential and education
- Retail/Shopping
- Traditional outdoor
- Travel and Transportation
- Work and professional spaces
Notes and Comments
Add more
ONLINE VIDEO
ONLINE VIDEO
Online Video Tactics*
- Targeted Impressions
- Website Retargeting
- Geofence (delivering ads to users while they are in the location)
- Geoframe Retargeting (delivering ads to users after they have left the location)
- Custom Audiences (CRM targeting, addressable)
- Contextual Keyword
- Weather Trigger
- Spotify Video
- Premium (example: YouTube)
Agency Gross
Net Invoice Amount
Grandfathered
Spend on Platform*
Number of Impressions
Please specify total impressions below in Notes. Include total for each month in contract.
Buyer CPM
Advertiser CPM
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Will this campaign be tracking footfall?*
What is the target zone address or addresses for footfall reporting (include specific dates if footfall tracking is not continuous through campaign)*
Footfall Tracking Date Option*
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Footfall Target Address*
Footfall Notes
Are you using a container tag to track online conversions?*
What online conversion do you want tracked?*
Please specify the specific conversions you want to track (Specific URL visits, form fills, button clicks, etc.)
What is the landing page url?
Geographic Target
Zip codes, radius, county, DMA, state, or country.
Audience Targeting
Zip codes, radius, county, DMA, state, or country.
Target Address*
Geofence and Geoframe Target Address
Weather Event Target(s)
Skippable or Nonskippable?*
- Skippable
- Nonskippable
Notes and Comments
Add more
STREAMING TV
STREAMING TV
Streaming TV Tactics*
- Targeted Impressions
- Website Retargeting
- Geoframe Retargeting (delivering ads to users after they have left the location)
- Custom Audiences (CRM targeting, addressable)
- Content/genre targeting (falls under Contextual but obviously, we can't use keywords)
- Weather Trigger
- Premium (example: YouTube TV, HULU, Netflix, etc)
Agency Gross
Net Invoice Amount
Grandfathered
Spend on Platform*
Number of Impressions
Please specify total impressions below in Notes. Include total for each month in contract.
Buyer CPM
Advertiser CPM
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Will this campaign be tracking footfall?*
What is the target zone address or addresses for footfall reporting (include specific dates if footfall tracking is not continuous through campaign)*
Footfall Tracking Date Option*
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Footfall Target Address*
Footfall Notes
Are you using a container tag to track online conversions?*
What online conversion do you want tracked?*
Please specify the specific conversions you want to track (Specific URL visits, form fills, button clicks, etc.)
What is the landing page url?
Geographic Target
Zip codes, radius, county, DMA, state, or country.
Audience Targeting
Zip codes, radius, county, DMA, state, or country.
Target Address*
Geofence and Geoframe Target Address
Weather Event Target(s)
Skippable or Nonskippable?*
- Skippable
- Nonskippable
Notes and Comments
Add more
STREAMING AUDIO
STREAMING AUDIO
Streaming Audio Tactics*
- Targeted Impressions
- Website Retargeting
- Geofence (delivering ads to users while they are in the location)
- Geoframe Retargeting (delivering ads to users after they have left the location)
- Custom Audiences (CRM targeting, addressable)
- Content/genre targeting (falls under Contextual but obviously, we can't use keywords)
- Weather Trigger
- Premium/RON
- Podcasts
Agency Gross
Net Invoice Amount
Grandfathered
Spend on Platform*
Number of Impressions
Please specify total impressions below in Notes. Include total for each month in contract.
Buyer CPM
Advertiser CPM
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Will this campaign be tracking footfall?*
What is the target zone address or addresses for footfall reporting (include specific dates if footfall tracking is not continuous through campaign)*
Footfall Tracking Date Option*
Start Date
MM slash DD slash YYYY

Total Flight
End Date
MM slash DD slash YYYY

Total Flight
Footfall Target Address*
Footfall Notes
Are you using a container tag to track online conversions?*
What online conversion do you want tracked?*
Please specify the specific conversions you want to track (Specific URL visits, form fills, button clicks, etc.)
What is the landing page url?
Geographic Target
Zip codes, radius, county, DMA, state, or country.
Audience Targeting
Zip codes, radius, county, DMA, state, or country.
Target Address*
Geofence and Geoframe Target Address
Weather Event Target(s)
Notes and Comments
Add more
Additional Information
General Notes
i.e. creative notes, traffic instructions, or anything additional needed.
Additional Files
Accepted file types: jpg, jpeg, heic, gif, tiff, png, pdf, doc, docx, xlsx, csv, pages, numbers, Max. file size: 20 MB.

SALESPERSON INFORMATION

BUSINESS INFORMATION

NATIVE ADVERTISING

SEARCH ENGINE MARKETING

DIRECTORY LISTINGS - YEXT

SOCIAL MEDIA MANAGEMENT

WEBSITE DEVELOPMENT

WEBSITE HOSTING

REVIEW BUILDER

GRAPHIC DESIGN AND BRANDING

PHOTOGRAPHY

VIDEO PRODUCTION

EMAIL MANAGEMENT

TARGETED EMAIL

STATION OWNED AND OPERATED WEBSITE: VIDEO, DISPLAY, EMAIL PROMOTIONS OR OTHER

SOCIAL MEDIA ADS

DISPLAY BANNER

DOOH

ONLINE VIDEO

STREAMING TV

STREAMING AUDIO

Additional Information

Reno, NV

Chattanooga, TN

Indianapolis, IN

Bloomington, IN

Ft. Wayne, IN