Sign Up for Mt. Hood Territory Co-Ops

Business Name *

Contact Name *

Contact Email *

Contact Phone *

Please select your participation
1. I want to participate in the training and the rebate program (we will contact you when the next training is scheduled, fall 2024)
2. I want to participate in the rebate and do not need the training (will be determined case by case)

How will you attend a training? (Note: You must attend a training to qualify for the rebate)

1. I attended a previous training and would not like to attend an additional training.
2. Other - Please describe below.

If you selected Other above, please describe the circumstances that should exclude you from training. Eligibility for rebate without attending a training will be considered case by case.

What are your ad goals? *

What is your approximate ad timing? *

What is your approximate ad budget? *

* Please Enter All Required Fields