Partners Submission

Media Partnership Application:

Contact Info

First Name *

Last Name *

Email Address *

Phone *

Media Outlet *

Address

Address 1

Address 2

City

State or Province

Zip or Postal Code

Country

Number of years in operation *

Type of Partnership you are seeking *

Total reach *

What goals are you trying to achieve through partnering with MJBizDaily and/or MJBizCon? *

Please provide an overview of your request *

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