Ping Mobile


Start Reaching Your Target Audience!

This page is designed to help us understand your needs. Once you complete the form and hit SUBMIT, we'll compile all the details and send a confirmation email to you, generally within 1-2 business days.

Main Point of Conctact Info
This information will be used to coordinate campaign details, progress, etc.
Name *
Phone *
Physical Address *
Physical Address
Billing Point of Contact Info
This information will be used for billing related communications. If the Main POC is the same as billing POC, leave the section below blank.
(If different than Main POC)
Targeted Display Advertising Campaign Details
Package Selection *
Please select the appropriate package for your campaign
List the geographic areas you'd like to target. Zip codes, or metropolitan area names are preferable. Please separate each entry with a comma.
Target Start Date *
Target Start Date
End Date
End Date
Must be at least 1 year in duration
Creative Assets
Please select all the creative assets you want us to build for you
Please paste a link to a hi-resolution, approved logo to be used in your display advertisements below
Please provide the EXACT spelling of your business name to be used in your display advertisements
Landing Page
If you indicated above that you want a landing page, please continue through this section. Otherwise, please skip ahead to "Legal Requirements"
Landing Page Details
Please select the fields you'd like on your landing page:
Will you be using the contact information secured above to contact people directly?
If so, your landing page will require a legal disclaimer (check box) for people to confirm their acceptance of being contacted
Please provide any specific language (including tag lines) that can be included on your landing page
Please provide a link to your company's Privacy Policy and Terms of Service to be included on your landing page
Legal Requirements *
Please click the check box below to accept and continue

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106 W 32nd St.
New York, NY, 10001