Business Name*
Name*
Email*
◦ If yes, do we have the authority to charge your card on the account for the outstanding balance? YesNo ◦ If no, were there any specific campaigns that you’ve run in the past that you considered successful? YesNo
◦ If yes, Which campaigns? What is the associated email address(a Gmail account) so we may reach out with steps to add us to the account?
