Advert Logix Onboarding

Advert Logix
Onboarding Form.

Please provide the details below so we can optimize your onboarding experience at advertlogix.com

Full Name *

Email *

Business EIN Number *

Business Details

LEGAL BUSINESS NAME *

DBA Name (If Applicable)

Website URL - (If None, Put N/A) *

Address

Street Address *

City

State

Country

Postal code

Business Primary Phone Number *

Hours of Operation *

Advertisement Info

Please List the Name of the service you want to promote & the pain point it solves *

Please list a second service or pain point you may be interested in advertising *

Please Provide a Price Range for The Treatment

Please Provide the name of the Treatment Provider

Please list any current or past campaigns, promos, or offers we should know about