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Digital Entertainment & Media Company Submission Form

Please complete the following form for your company to be included in the 2006 Digital Entertainment & Media Directory.

To be listed in the directory, companies must provide products or services in one of the digital entertainment or media sectors listed below and must have an office in the United States.

For companies with more than one division, please complete a separate form for each business unit and note the division in the "Company Name" line.

Once the information is submitted, it will be reviewed by one of our editors. For questions, please email Tinzar Sherman at tinzar@digitalmediawire.com or call 323-852-7130.


 Company Information

Please note, all fields marked with a * are required fields.


*Company Name
*Primary Address
Address Line 1
 
Address Line 2
 
*City: *State: *Zip:
*Is the address listed above the company's headquarters?
Yes    No  If no, please list headquarters city and state
Does the company have more than one U.S. office?
Yes    No    (If yes, please list them below)
If the company has other offices in the U.S., please list here
(Skip to next question, if the company only has
only one U.S. address)
Address (2nd Address)
Address Line 1
Address Line 2
City: State: Zip:  
Address (3rd Address)
Address Line 1
Address Line 2
City: State: Zip:  
Address (4th Address)
Address Line 1
Address Line 2
City: State: Zip:  
Address (5th Address)
Address Line 1
Address Line 2
City: State: Zip:  
 
Is the company listed above a
subsidiary of another company?
No    Yes    If yes, name of the parent company
*Company Phone Number
Fax Number
*Company Website URL
Other Website(s) URL(s)




*Primary Business Sector
Secondary Business Sector
*Company Description.  Please enter an
objective description of the company.  (500
characters max)
  
Number of Employees
*Is the company publicly traded or a private company?
Private Company    Public Company   
If publicly traded, please enter stock symbol:
Has the company received venture capital financing?

No Yes

Does the company have international sales?
Yes    No   
Year company was established
Annual revenues
Comments (not for publication): Please feel free to
make any notes or clarifications about your listing
for our editor. This is not for publication.

 Senior Executives
 
Below please list up to fifteen names and titles of the senior most executives or partners located at the office(s) listed above (include titles such as CEO, President, CFO, CTO, CIO, COO, Partner, Marketing Director, Sales Director, General Counsel etc.)


   
 
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 Your Information
 
Please complete the following information about yourself (this info will not be printed in the directory). The
username and password will allow you to update the company information at www.digitalentertainmentdirectory.com
A confirmation email will be sent to you.
 
Your First Name
Your Last Name
Your Title
Your Company Name
Your Phone Number
Your Email Address
Confirm Email Address
Username
 
Password
Confirm Password