Contact information
First name:
Last name:
Company name:
Email address:
Contact phone number:
(e.g. 650-123-4567)
Company website:
AdSense Publisher ID: (Optional)
(e.g. ca-pub-123456401385873)
Country in which your business is based:
United States
Australia
Austria
Belgium
Brazil
Canada
China
Denmark
Finland
France
Germany
Hong Kong
Italy
Japan
Netherlands
Norway
Portugal
Singapore
South Korea
Spain
Sweden
Switzerland
Taiwan
United Kingdom
------
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Details about your application
Please let us know more about the
primary app that you are looking to monetize.
Mobile application name:
(as it appears in App Store or Android Marketplace)
Category:
Books
Business
Education
Entertainment
Finance
Games
Health & Fitness
Lifestyle
Medical
Music
Navigation
News
Photography
Productivity
Reference
Social Networking
Sports
Travel
Utilities
Weather
Other
Brief description of your app:
(500 char max)
Platform(s):
Android
iPhone
Other
Launch date / Expected launch date of your app:
January
February
March
April
May
June
July
August
September
October
November
December
2007
2008
2009
2010
2011
2012
Number of downloads to date:
Number of daily pageviews:
Percentage of US pageviews:
%
Other top countries by pageviews:
(Comma separated list. 500 char max)
Is your app running ads today?
Yes
No
Number of daily pageviews available to AdSense for Mobile Applications:
Do you have engineering resources capable of an SDK integration?
Yes
No
Application demographics (Optional)
Fill in the percentage of
your users that fall into each category. This information will be used by our
ad sales team to help promote your app to advertisers.
Qualitative description of users:
(500 char max)
Gender:
M
%
F
%
Age:
3-11
%
12-17
%
18-34
%
35-49
%
50+
%
Income:
$0-30K
%
$30-60K
%
$60-100K
%
$100K+
%
Other applications (Optional)
Do you have other apps that
you are looking to monetize? Please provide us with an overview.
Total number of applications:
Platform(s):
Android
iPhone
Other
Total number of downloads to date:
Total number of daily pageviews:
Total percentage US pageviews:
%