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Email

multimediaglobalinnovation@hfament.com

Entity *IndividualCompany

Use 'Individual' name as name of company if 'Individual' is selected

Name of the Company *

Email *

Type of Entity *

• Artist
• Product
• Service

Average Annual Income *

• $25,000.
• $50,000.
• $150,000.
• $500,000.
• $1,000,000.

Example: $25,000. up to $50,000.

Participated in any prior Media Marketing /Advertisment *

• Yes
• No

If 'Yes' were you satisfide with their Service *

• Yes
• No

If never participated, select 'No'.

Cost for 'Service' *

Example: 30000.00. If never participated, enter '0'.

Gains after Fiscal year, from 'Services' rendered *

Example: 30000.00. If never participated, enter '0'.

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