Application for Digital Sign

2. Name of Company or Organization*
4. Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
15. Requested Date to Display*
    Requested Date to Display Start Date

    —

    Requested Date to Display End Date
17. Comments:
21. Name of Event*
22. Date & Time of Event *
    Date & Time of Event Start Date

    Date & Time of Event Start Time

    —

    Date & Time of Event End Date

    Date & Time of Event End Time
24. Location of the Event*
26. City*
27. State*
28. Zip Code*
30. Purpose of the Event*
31. 9-Digit EIN 501 C-3 Number
33. Application Fee
    Digital Sign Application
34. Price
35. Quantity
36. Shipping Cost
38. Upload Content Here

    Please upload content file here!

     All digital art should be submitted in hi-res vector format such as .png, jpeg, or .pdf. Photographs and images should be professional, simple and clear. The best format to use is 600 by 240 px to maintain proper aspect ratio.

40. Taxable
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field