Online Ad Signup - The Association for delivery drivers

Online Ad Signup

Home Online Ad Signup

Contracting Company Name

Contracting Company Code (CCC)

None - not yet registered

Number of Delivery Drivers under Contract

See Enhanced Info on Driver Ads? ($100) (click to view sample)

Yes No

Coupon Code (optional):

Shield Drivers from Ad Searches? ($100)

Yes No

Ad Charge Calculation

Advertisement Charge: $ None

Headquarters Address

Street address

City

State

Zip Code

Person Completing Ad Signup Form

First Name

Last Name

Title

Telephone

(xxx-xxx-xxxx)

You may either upload an existing online Ad for A4DD to use, or let us create one for you using your logo and any additional text you wish drivers to see.

What will you be uploading?

Ad Logo

When will you provide your image?

Now Later

Where should your ad link to (website)? http://

Phone number to display (if any):

Email address to display (if any):

Comments

Note: Payment information is NOT stored by the Association for your security!