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Campaign Setup Form

Indicates Required Fields

Basic Details
Campaign Name
Company Name
Company Address
Company Phone
Technical Contact
Cost Per Lead
 
Please fill out either date range or max lead range for offer:
Start Date
N/A
End Date
 N/A
Max Leads
 N/A
 
Is this a US only Offer?
USA Leads
 Accepted
International Leads
Accepted
   
Will you be providing us HTML for this offer?
If you are providing HTML please attach it or provide the URL where this offer is live:
Can this offer be displayed on a page with other offers?
Would you like an Auto-Responder with this offer?
If you would like an autoresponder please provide copy and subject line.
Export Details
How would you like your leads sent to you?
(if this is a batch file please fill out the batch export fields below)
If real time post; Post / get URL
SOAP Success Qualifie
 
If Batch Export - please fill out below
File Name
File Extension
 if other:
File Format
Export Time:
Export Freq
Export Day(s)
 Mon
Tue
Wed
Thu
Fri
Sat
Sun
Export Headers
Export Location
Email
Email Address
FTP
SFTP
Server
UN
PW
   
Campaign Setup Form Continue
*Please select the fields to be exported to the advertiser and provide the name as you would like each field exported.
(if you do not put anything in the export as section your field names will appear as is)
Email
Export As
FirstName
Export As
LastName
Export As
Address
Export As
Address2
Export As
City
Export As
State
Export As
Zip
Export As
Gender
Export As
DOB
Export As
Age
Export As
Phone
Export As
Timedate
Export As
IP Address
Export As
Other Field 1
Export As
Other Field 2
Export As
Other Field 3
Export As
Other Field 4
Export As
Other Field 5
Export As
Other Field 6
Export As
Other Field 7
Export As
Other Field 8
Export As
Other Field 9
Export As
Other Field 10
Export As
Other Field 11
Export As
Other Field 12
Export As
Other Field 13
Export As
Other Field 14
Export As
** Please highlight any leads, that are considered bad if missing a specific field, in red i.e. Email Address Export As: Email
Additional Information Needed

1) Please include all creative for this offer, including:
a) Offer image
b) Offer headline
c) Offer language
   

2) Does this offer require any targeting parameters?
If so please list here:
 
3) If this offer required HTML and will display as one whole page, please include link to LIVE version of form and also ensure that all images serving into offer are publicly accessible.
(if you are not able to supply a live link, please attach html for the form you would like)
   
4) Does your offer contain custom questions?
If yes, please provide the questions you would like displayed and the values (what the user will see and what will be passed to you) in a .txt file
 

5) If using auto-responder, please pass the following:
a) Subject line
b) Text copy
c) HTML copy with hosted images
d) Email address or FTP to receive opt-outs weekly to be passed on the advertiser
e) Advertiser opt-out language (optional). If not provided, Origin will use OD opt-out language.
 
6) Sample file if batch export is needed.
   
7) Please list any other comments that may be necessary in filling out this offer.
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