[fusion_builder_container hundred_percent=”no” equal_height_columns=”no” menu_anchor=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”center center” background_repeat=”no-repeat” fade=”no” background_parallax=”none” parallax_speed=”0.3″ video_mp4=”” video_webm=”” video_ogv=”” video_url=”” video_aspect_ratio=”16:9″ video_loop=”yes” video_mute=”yes” overlay_color=”” video_preview_image=”” border_size=”” border_color=”” border_style=”solid” padding_top=”” padding_bottom=”” padding_left=”” padding_right=””][fusion_builder_row][fusion_builder_column type=”2_3″ layout=”1_1″ spacing=”yes” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_image_id=”” background_color=”” background_image=”” background_position=”left top” undefined=”” background_repeat=”no-repeat” hover_type=”none” border_size=”” border_color=”” border_style=”solid” border_position=”all” border_radius_top_left=”” border_radius_top_right=”” border_radius_bottom_left=”” border_radius_bottom_right=”” box_shadow=”no” box_shadow_vertical=”” box_shadow_horizontal=”” box_shadow_blur=”” box_shadow_spread=”” box_shadow_color=”” box_shadow_style=”” padding_top=”” padding_right=”” padding_bottom=”0px” padding_left=”” margin_top=”0px” margin_bottom=”0px” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_title hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” content_align=”left” size=”2″ font_size=”” line_height=”” letter_spacing=”” margin_top=”” margin_bottom=”0px” margin_top_mobile=”” margin_bottom_mobile=”” text_color=”#8bc34a” style_type=”none” sep_color=””]

Final Step: Campaign Information

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Thanks for your payment, {Legal Name of Signee (First):12.3}.  Your receipt has been emailed to you.

Customer: {Practice Name:26}
Payment Type: {Credit Card Payment Details (Card Type):74.4} – {Credit Card Payment Details (Card Details):74.1}
Order Details
Campaign Fees: {Campaign Fees Subtotal:60}
Campaigns Selected: {Which Product(s):76}
Ad Budget Total: {Total Ad Budget:70} (includes 15% Media Management Fee)
Total Payment Amount: {Total Monthly Charges:30}

Now lets get started collecting your campaign information!

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Consult Accelerator Setup

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  • The phone number entered here will be used as the forwarding number for a tracking phone number that we will create.
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  • How far are patients willing to travel to you for the procedure(s) being targeted?
  • Drop files here or
    Accepted file types: png, pdf, eps, ai, psd, Max. file size: 50 MB, Max. files: 4.
      If you do not upload your logo here, we will attempt to pull it off of your website.
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