Stellantis Enrollment

Dig Ad Certification Request

Please fill out the following details in order to begin the process for new dealer site builds. All fields are required unless otherwise noted.

Full Name

Title

Dealer Code

Email Address

Phone Number

Provider Company Name

Provider Company Website

Provider Contact Full Name

Title

Email Address

Phone Number

Select channels provider would like considered for certification:

Paid Search Paid Social Performance Max Display
Video OTT/CTV

Provider acknowledges, understands, and agrees to proceed with the following requirements:

Mutual NDA execution.
Review and acceptance of the Master Services Agreement (MSA) Terms and Conditions.
Review and acceptance of Program Technical Integration, Reporting, and Performance Requirements.
Completion and acceptance of Statement of Work (SOW) requirements.
Completion of all required technical integrations.
Integration with the Billing Portal.
Production launch (Go Live).

Yes No