Digital Partnership or Advertising Agreement
Please fill out the information below to reserve digital content or ad placement with the Energy Drone & Robotics Coalition, powered by InnovateEnergy.
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Purchaser and Company Information:
Primary Contact First Name: *
Primary Contact Last Name: *
Primary Contact Job Title: *
Primary Contact Phone Number: *
Primary Contact Email Address: *
Company Name: *
Mailing Address: *
City: *
State: *
Zip Code: *
Website: *
Invoice / Accounting Contact Information:
(if different than primary contact)
Accounting Contact First Name:
Accounting Contact Last Name:
Accounting Contact Phone Number:
Accounting Contact Email Address:
Media Selection:
Please Select Which Media or Ad Space You'd Like to Purchase: *
Required
Brief Description of Content: *
We require that all ads and digital content that we distribute to the Energy Drone & Robotics Coalition community be, first and foremost, relevant to our audience. Please provide a brief description below so your ad or content can be quickly approved.
Contract Total: *
Payment Information:
Method of Payment: *
Required
Payment Schedule:
• 100% due upon invoice, prior to fulfillment
Address:
Energy Drone & Robotics Coalition
12335 Kingsride, #420
Houston, Texas 77024

Electronic Signature: *
Date: *
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