Partnership Application Form
Please complete the form below to be considered for partnership with ATR Media.
Business/Organization Name
*
Business/Organization URL
*
This business/organization prioritizes: (you can select more than one)
*
Children
Environment
Health
Animals
The Arts
Schools
Other (please specify)
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Executive Director/CEO
*
First Name
Last Name
Registration Number
*
Contact Person
*
First Name
Last Name
Contact Phone Number
*
Ext
Contact Email
*
example@example.com
Marketing/Communications Contact
First Name
Last Name
Marketing/Communications Contact Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the mission of your business/organization?
*
A partnership with ATR Media will help our business/organization...
*
Review and Submit Application
Thank you for your interest in partnering with ATR Media! Someone from our team will contact you about partnership soon. Please review your application before submitting. Changes to the application cannot be made after submission.
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