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Our experience with DE & NL is that the referrals are MUCH lower than the US by a number of multiples.
As an example we are going to have to close our NL account because we can't get enough volume to get near the minimum spend of Euros 25 monthly. They are also very difficult to get terms approved. Just too much time and work to make it profitable. As we have very good natural results and they provide such poor PPC volumes we can afford to just drop them.