Application for Digital Sign

2. Name of Company of 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
19. Name of Event*
20. Date & Time of Event *
    Date & Time of Event

    Date & Time of Event
22. Location of the Event*
24. City*
25. State*
26. Zip Code*
28. Purpose of the Event*
29. 9-Digit EIN 501 C-3 Number
31. Application Fee
    Digial Sign Application
32. Price
33. Quantity
34. Shipping Cost
36. 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.

38. Taxable
Leave This Blank:


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

    This field is not part of the form submission.

42. Submit

* indicates a required field