Donation Registration Form

With our community-focused approach, we also want to give back to local communities and have created this program to donate Ad space to organizations that can benefit from more awareness and assistance. Please complete the form below to get started with our unique advertising campaign across multiple local businesses with 2500 or more impressions daily!

PLEASE NOTE: If you are looking to run different size ads on the Billboard network or want to run multiple ads across different Billboard networks or regions, you will need to complete this form for each ad you need.

Organization Name(Required)

Contact Name(Required)

First Last

Contact Email

Enter Email Confirm Email

Is your organization a 501C Organization?(Required)

Non-Profit Tax ID(Required)

Please provide your Tax ID below

501c Documentation(Required)

If you have 501c documentation to upload, please feel free to do this here. Allowed file types: .jpg, .jpeg, .gif, .png, .pdf

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 1 GB, Max. files: 4.

Username(Required)

This can be your email address or a unique username. PLEASE NOTE: If you need more than one account, we recommend using a unique username instead of email address as your username.

Password(Required)

This will be the organizations contact password for access to our site and mobile app.

Enter Password Confirm Password

Strength indicator

Contact Phone(Required)

Contact Mobile Phone(Required)

Organization Address(Required)

Street Address Address Line 2 City State ZIP Code

Did a TEAM Member help you?

How did you hear about TEAM?(Required)

Please let us know how you found us and if you scanned a QR Code.

Online

Mobile App

TEAM Affiliate (Choose below)

Scanned QR on Billboard (Choose below)

Saw a Billboard (Choose below)

Other

Did a TEAM Affiliate Help You?(Required)

Billboard(Required)

Which location did you see our Billboard or Scan a QR Code?

Other

Please let us know how you found TEAM Media Group.

TEAM Affiliates Name(Required)

Billboard Network(Required)

Which Billboard Network do you want your ad to be run in?

Donation Options

Choose the Ad details below to begin the donation process. We provide one free Ad for each cause on one of our networks. If you choose to place multiple Ads or would like to run the Ads on multiple networks, please let us know and we can work with you directly to get this done.

Choose Ad(Required)

This field is hidden when viewing the form

Quantity(Required)

Ads - Do you want to run more than 1 AD | Runs - We can run one ad more times per network | Networks - We can run your ads on multiple networks

Network Selection(Required)

Please let us know which network you would like this Ad to be run in. PLEASE NOTE: Donation Ads are available for the MAIN Space Ad.

Options for your AD(Required)

Ad Design

Price: $159.95

We design your Ad for this project.

Single-Page Website

Price: $299.95

We will create a single-page website for your business. We can also do larger website builds, ask for more info.

Absolutely! When you have your design ready to email, please email your files to designteam@theteammediagroup.com. *Please note: Permitted file types are .jpg and .png at 1920x1080 max dimensions.

Upload your Design Now(Required)

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, gif, Max. file size: 1 GB, Max. files: 5.

We will have your ad running in a few hours! Permitted file types are .jpg, .jpeg, .pdf, .gif, and .png at 1920x1080 dimensions. Feel free to upload more than one file if you are running multiple ads in multiple cities.

How can we help?

Please add the details below if you are ordering more than one Ad or if you need assistance with other services and you would like assistance with. Someone from our TEAM will reach out to you ASAP! Thanks

Authorization(Required)

I authorize TEAM Media Group LLC to charge my credit card as detailed above for subscription charges. TEAM Media Group LLC will save credit card information in the card processors system. TEAM Media Group LLC, its employees and affiliates will not have access to any credit card information. PLEASE NOTE: If this is a charitable donation ad, you will not be asked for credit card information and your ad will be run on the billboard network at no cost.

PLEASE NOTE: CANCELLATIONS
TEAM Media Group LLC will be unable to issue refunds for any cancellation of services. Cancellation of subscriptions must be communicated to TEAM Media Group LLC at least 10 days prior to the billing. If your cancellation is received within 10 days of the billing cycle, your Ad will continue to run for the remaining 30 days of the next billing cycle.

I authorize TEAM Media Group LLC to charge my credit card today and for all future subscription charges. Donation Ads are provided at no cost, but in order to track the subscription and ensure the organization receives the requested Ad space, please check the authorization box and sign below.

Signature

Subtotal

Total

Unique ID