Host Partnership Application Form

Name *

First

Last

Name of Business *

Business URL *

Email *

What is your business address? *

Do You Understand the Benefits of Partnership? *

• Yes
• No
• Please explain more

Best Contact Number # *

Leave any questions or thoughts in the conversation box

Check off the labels which apply to your business *

• I have a website
• My WiFi is very fast
• My WiFi is very slow
• I use other advertising platforms
• I advertise on Social Media
• I am interested in growing my customer base
• I have an outlet near the TV Network space
• I would like to hear about all your advertising services
• I have an online store
• I have a local storefront
• I have multiple locations
• I am active on my social media
• I offer products
• I offer services
• I am open more than 8 hours per day
• I am interested in a closed network
• I am interested in a Menu Board
• other

What is the average "dwell time" per customer? *

Please Type Your Name to Verify You are the Decision Maker of the Business *

Submit