Name
This field is for validation purposes and should be left unchanged.
Tag Request
Is your dealer ready to tag their website to uncover their anonymous website shoppers? Get the process started for your dealer by filling out this form. Please note: one request per rooftop. If you have multiple dealerships, please fill out a request for each dealer.
Have you filled out the prospect qualification form and received an approval to proceed?
(Required)
Yes, I have filled it out and received approval. Please proceed.
Yes, I have filled it out but did not receive approval. We will not be able to proceed with a tag at this time.
No, I have not had my prospect pre-approved yet. Please go to this form first: https://automediamarketplace.com/partners/nexstar-resources/prospect-qualification/
Have you met with the dealer to discuss this opportunity? Please note: we will be reaching out to the dealer directly to get the tag installed.
(Required)
Yes, I have met with the dealer and they are prepared for you to reach out regarding tag installation.
No, I have not met with the dealer yet, but understand I need to do so before proceeding.
AE Name
(Required)
First
Last
AE Email
(Required)
Additional Email to include
Include up to two additional emails that you would like included in the communication about this opportunity.
Additional Email to include
AE Phone
(Required)
Your Opportunity Details
Please fill out individual tag requests for each dealership.
Dealership/Business Name
(Required)
Include Dealership Name if submitting individual rooftops. If submitting an Auto Group, please include the group name. Please note: if the group has multiple dealerships, please fill out a request for each dealer in addition to the group.
Dealership/Business Website
(Required)
Please ensure the dealership’s full website url ONLY is included. No Bing search results, UTM codes, or search codes will be accepted. Accepted format example: https://www.hauserchevrolet.com/
Dealership/Business Main POC Name
(Required)
Add your dealership’s best POC
First
Last
Dealership/Business Main POC Email
(Required)
Add your dealership’s best POC’s email
Campaign Scope
(Required)
Single
Multi-Market
National
Please select the campaign scope
Regional Director
(Required)
Please select your Regional Director
Cramer Robinson
Erin Hoffman
JB Ozuna
Jon Bodnar
Josh Oswald
Kurt Laufer
Meghan Glenn
Mike Gross
Rocco Bernardoni
Robert Truman
Tim VanderZwaag
Market – Cramer Robinson
(Required)
Augusta
Charleston, SC
Charlotte
Greensboro
Greenville, NC
Myrtle Beach
Norfolk
Raleigh
Richmond
Roanoke
Savannah
Spartanburg
Please select your Market
Market – Erin Hoffman
(Required)
Birmingham
Columbus, GA
Dothan
Huntsville
Knoxville
Mobile/Pensacola
Nashville
Panama City
Tri Cities
Please select your Market
Market – JB Ozuna
(Required)
Albuquerque
Billings
Colorado Springs
Denver
Grand Junction
Las Vegas
Phoenix
Salt Lake City
Please select your Market
Market – Jon Bodnar
(Required)
Bismarck
Champaign
Des Moines
Green Bay
LaCrosse
Peoria
Quad Cities
Rockford
Sioux City
Sioux Falls
Please select your Market
Market – Josh Oswald
(Required)
Evansville
Joplin
Kansas City
Oklahoma City
Springfield, MO
St. Louis
Terre Haute
Topeka
Wichita
Please select your Market
Market – Kurt Laufer
(Required)
Tampa
Chicago
Fort Wayne
Grand Rapids
Indianapolis
Lansing
New Haven
New York
Philadelphia
Washington DC
Please select your Market
Market – Meghan Glenn
(Required)
Albany
Binghamton
Buffalo
Burlington
Elmira
Providence
Rochester
Springfield, MA
Syracuse
Utica
Watertown
Please select your Market
Market – Mike Gross
(Required)
Bakersfield
Fresno
Honolulu
Los Angeles
Portland
Sacramento
San Diego
San Francisco
Please select your Market
Market – Robert Truman
(Required)
Abilene
Amarillo
Austin
Brownsville
Dallas
El Paso
Houston
Lubbock
Midland
San Angelo
Tyler
Waco
Wichita Falls
Please select your Market
Market – Rocco Bernardoni
(Required)
Alexandria
Baton Rouge
Fayetteville
Hattiesburg
Jackson, MS
Lafayette, LA
Little Rock
Memphis/Jackson
Monroe
New Orleans
Shreveport
Please select your Market
Market – Tim VanderZwaag
(Required)
Altoona
Bluefield
Charleston, WV
Clarksburg
Cleveland
Columbus, OH
Dayton
Erie
Harrisburg
Lexington
Wheeling
Wilkes Barre/Scranton
Youngstown
Please select your Market
Does the dealer have an agency?
(Required)
Yes, they have an agency.
No, they do not have an agency.
Agency Website
(Required)
Please ensure the agency’s full website url ONLY is included. No Bing search results, UTM codes, or search codes will be accepted. Accepted format example: https://www.hauserchevrolet.com/
Entry ID
(Required)
Locate your Entry ID from your original submission in your confirmation or your internal region tracker to process the request.
Anything else you would like to add?
What else should the team understand about your prospect? Is there a sense of urgency? Is there a group level strategy required? Note: if you have more than one dealership, please fill out separate forms for each dealer.
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