Alcohol Information Poland Application Form

Contact name *

End Customer Company Name *

What is the name of the company being advertised? If you belong to an agency, please provide the name of the company that you’re managing the campaigns for. This will help us route your case to the best available agent.

Full client name

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

Contact email *

Please use a valid email id of the format example@abc.com

Account Login Email ID

Select a Google Ads Customer ID

If you are an agency or someone who manages multiple Google Ads accounts, please do not enter the Customer ID for your Google Ads Manager Account . Please select the Customer ID for the individual account. Learn how to find your Google Ads customer ID .

Please provide a phone number we can call to reach you

Keep in mind: We'll do our best to call you, but we still might email you if that's the quickest way to give you help.

Email CC Add additional field

Include an email address you would like to CC on this submission. Click the "Add additional" link to add multiple email addresses.

Websites * Add additional field

Advertising Beer Information Terms and Conditions Agreement

*

Please check the boxes below if, on behalf of your company, you agree that you have read, understood, and agreed to the following advertising terms, and you are duly authorized to accept them:

Alcohol Information Poland Application Form

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