New Screen Location Submission

First Name Last Name

Screen Owner Email Address

Business name

Create Group Code for your screens Pick a name for your group of screens. e.g. Starbucks2023

Business Website e.g. www.papjohns.com

Business Address Street Address

Street Address Line 2

City state

Postal Code

Advertisers for this location e.g. AJ's Pawn shop, XYZ Vape shop, etc...

Location Image URL e.g. https://lh3.googleusercontent.com/p/AF1QipNUoSGmCTPXBNTbGLpzt90JXpSH6GocTCZgk4nR=s680-w680-h510

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