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Digital Signage Business Form
First name
(Required)
Last name
(Required)
Email
(Required)
Phone
(Required)
Select Date you want your advertising to start. The form must be submitted 7 days prior to start date.
Upload File or Submit via email at weadvertisedigital@gmail.com
Upload File
Type of Business- What type of business do you have? Please Specify.
How many days do you want the ad to run?
(Required)
Choose one
Product
30 Days (One Time Payment)
$500
Product
7 Days (One Time Payment)
$250
Product
24 hours (One Time Payment)
$100
Content Guidelines Confirmation- Please confirm that your advertisement content does not contain nudity or profanity.
(Required)
Yes, my content follows the guidelines.
No, my content does not follow the guidelines.
Additional Request or Details
Signature
(Required)
Upload Image
Preferred Contact Method
Email
Phone
Text Message
Best Contact Time
Morning
Afternoon
Evening
Yes, subscribe me to your mailing list.
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