Gambling application: State-run entities

Full customer name *

Please enter your name

Full client name

Only applicable to agency customers applying on behalf of a client.

Email address *

Please enter a valid email address.

Login email *

If different than above

Additional email addresses to copy on this requestAdd additional field

Please enter a valid email address

Are you an agency or network applying on behalf of the gambling operator? *

Letter explaining link between Display & Video 360 advertiser and gambling licensee *

If you are an agency or network, please attach a letter from the licensee explicitly approving the Display & Video 360 advertiser to promote their website via Display & Video 360. Feel free to attach a .pdf on the licensee letterhead with a relevant stamp and signature in order to expedite the approval process.

Select the country for which you are applying: *

Websites *Add additional field

Advertising Gambling Terms and Conditions Agreement *

*

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