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Why would anyone need help with Adword, its not that complicated....the money you spend hiring someone, you could used it to get a few more clicks...
What type of service are you talking about? There are many folks out there who do that and now a lot of different software programs. If someone is running a small business they can do it on their own and save a lot of money.
adword is not that complicated, google's help section is indeed very helpful though. Like what Indianapolisseo.com said, those who are in a small business can do it on their own and save a lot of money, better spend it in getting a few more clicks