Business Name Listed On Corporation *

Business Address Listed On Corporation *

Company, Restaurant, or Business Name *

EIN *

Business Type (EX. LLC, Corporation) *

Business Website URL *

What is the age range of your typical restaurant visitor?

Owner First Name *

Owner Last Name *

Authorize person to work with our team (Full name, Email, and Personal Phone) *

Best Company Email *

Best Company Phone *

Front Of License (Owner) *

Back Of License (Owner) *

State Ein Document (CP-575) Require by Google Ads *

Credit Card For Google Ads / Exp Date / CVV 🔒 *

Credit Card For Meta Ads / Exp Date / CVV 🔒 *

Auto ACH Long Island Digital - Bank Name

Auto ACH Long Island Digital - Account Number 🔒

Auto ACH Long Island Digital - Routing Number 🔒

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