host - DIGIMAX

Join the DIGIMAX Place Based Media Program

DIGIMAX partners with advertisers to sponsor our state-of-the-art DIGIMAX Place Based media solutions and account support. Once you complete the form below, we will review your information.

If you qualify for the program, we will begin working on finding you the right sponsor(s). This process could take a few months as we need to reach a certain number of new sign-ups for each wave of new installations we make.

Please register with us so we can have a conversation with you. Our partners are looking to reach very specific audiences, and we do not want to lead you on if we think that your customer base is not in demand by our current set of sponsors. We are always working on expanding our portfolio of sponsors, which means we will always keep your application on file to match you with the right advertisers when they come. We look forward to working with you.

General Information

Rep Name:

*First Name Last Name

Owner:

*First Name Last Name

Business Name:*

Phone Number:*

Contact Email:*

How Many Locations are You Enrolling:*

Location Address:*

City State ZIP Code

Detailed Store Information

Average Customers*

Average Customers: Monthly or Weekly*

Outside Location Image

Screen Installation Area

Assigned Power Outlet

Additional Applicable Image

Agreement and Signature

View Our Agreement Here

Signature

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By providing your digital signature, you agree to the terms and conditions listed in the PDF