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Please complete this information form let us know a little more about you and your interests or your organization. You could even let us know what you would like to see on PPN
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Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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Describe yourself or your organization?
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Individual
Manufacturer
Association or organization
Educator
Educational institution
interested in Ad space
Sports content provider
Leadership or management content
If Other please specify:
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What is your age or the ages of your members?
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13-18
19-25
26-35
36-50
Over 50
If you are an association what region or country do you represent?
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If you are an association, how many members do you currently have?
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0-10
10-50
50-200
201-500
greater than 500
If your an organization, select the number years you have you been in operations?
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New organization
Operating for 1-5 years
Operating for more than 5 years
If you are interested in Advertising space, a Retailer or Service provider tell us briefly about your products or services.
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Do you currently have video content or do you Live stream? Tell us about it.
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Other information you would like to share with us.
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Submit
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