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Proximity Marketing
Lion Communications, LLC
Bluetooth Mobile Proximity Marketing Enrollment Form
Business Name
Business Phone
Business Address
Ad Contact Primary:
Name
Email
Phone Number
Ad Contact Secondary
Name
Email
Phone Number
Web Address
Social Media:
Facebook
Twitter
Instagram
Upload Logo Image
jpg, jpeg, png, gif < 100kb
Upload Icon Image
jpg, jpeg, png, gif < 100kb
Upload at least 4 images
Select a file
jpg, jpeg, png, gif < 100kb
Select a file
jpg, jpeg, png, gif < 100kb
Select a file
jpg, jpeg, png, gif < 100kb
Select a file
jpg, jpeg, png, gif < 100kb
40 Character Notification
Initial Ad Offer
Username
Must be Email Adress
Password
Confirm
Survey Info: Would you like to collect email, phone, name, info, etc.?
Yes
No
Shipping Location: Who are we shipping the programmed Proximity Device to?
Rep Name:
