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Palm Beach Games


PB Interactive Partner Registration

Complete this form if you are the owner of a company or project team and wish to partner with PB Interactive and its subsidiaries.
Before applying, you will need the following:
  • A Static IP address (required for access partner tools site)
  • A non-public domain email address (Gmail, Hotmail, etc. are not acceptable)
For any questions, please contact us.
* Required fields

Applicant Information


Applicant's Name *

Please provide your first and last name.

Company Position *


Company Information

Please provide us information over your company.

Full Name of Company *

What is the name of your company?

Email Contact *

Company or personal email address for follow-up.

Mission

What is your company or teams mission? What are your goals, projects, and/or future ambitions?

Established *


Website(s) *

Please input any and all homepage website URL's your company or project team use. If not applicable, just say "None"

Relation *

What is your primary interest in a potential partnership?

Additional Information/Comments

Is there anything else you would like to let us know regarding this proposal?

Partner Tools Access

In order to have access to our partner tools site, please provide the following information.

Static IP *

You will only have access to our partner tools site through this IP.

Agreement


Electronic Signature Agreement *


I have read, understood and agree to the Elecronic Signature Communications Agreement Form.Initial

Partnership Agreement *

PB Interactive subjects all partnering companies and teams to a Partnership Agreement. While some of the points in the agreement will be modified as deemed fit, the above document contains universal aspects present in all agreements.

I have read, understood and agree to the Partnership Agreement.Initial

Acknowledgment *


• I certify that all of the information above is to the best of my knowledge and belief true, correct, and complete.
• I agree that my company or project team will, in full, agree to the Business Partnership Agreement.
• I hereby authorize PB Interactive to review this proposal and contact me back.
• I understand that such a proposal could waive some rights to PB Interactive if in writing and agreed upon later on.

Electronic Signature *

Please type your first and last name to complete the Electronic Signature Agreement.