Ads Marketplace Publisher Application

Welcome. Complete the fields below — the form auto-saves as you go.

Section A — Publisher Information

Auto-saves as you type

Publisher Legal Name *

State of Formation / EIN *

Doing Business As (DBA)

Company Type *

Billing Address *

City, State, Zip *

Primary Contact Name *

Primary Contact Email *

Primary Contact Phone

Billing Contact Name *

Billing Email *

Billing Phone

Add up to 10 newsletter properties. Select the vertical that best describes the newsletter. Choose ‘Other’ if none apply.

Property Name *

Sending Domain *

Vertical *

Est. Monthly Sends *

Notes

Expected Go-Live Date *

Primary ESP / Sending Platform *

CNAME Setup Required

Seeding Emails Added

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