Nonprofit Billboard Program Application Form
Organization Information
Organization Name
Type of Nonprofit (501(c)(3), etc.)
EIN (Employer Identification Number)
Organization Address
Website
Contact Person
Contact Name
Contact Title/Role
Contact Email
Contact Phone
Billboard Campaign Information
Campaign Title
Campaign Goal / Message
Target Audience
Desired Billboard Location(s)
Preferred Dates / Duration
Artwork
Link to Billboard Artwork or Concepts
Do you need assistance with design?
Yes
No
Additional Information
Additional Comments or Information