Gambling application: State-run entities

Full customer name *

Please enter your 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.

Email address *

Please enter a valid email address.

Login email *

If different than above

Additional email addresses to copy on this request

Add 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: *

URLs you want to promote *

Advertising Gambling Terms and Conditions Agreement *

GAMBLING AND GAMES POLICY 1/1" id="readAndAgreeState--agree" name="readAndAgreeState" value="agree" type="checkbox"/>

*

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