MXD Station Registration Organization Name * Please enter the name by which you want your MXD Trading Partners to know you. Group Owner * Please add the name of your group owner here Address Please enter the first line of your business mailing address here. Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Contact Name * Please enter your organization's primary contact's name First Name Last Name Email * Please enter your email address here Business Phone * Please enter your business phone number here (###) ### #### Billing Contact * First Name Last Name Billing Email * Billing Phone (###) ### #### Identity Confirmation Question What is your favorite pizza topping? What is the name of your favorite park? What elementary school did you attend? What is your pet's name? Identity Confirmation Answer Enter Desired Password * Media Type * R (radio), TV (Broadcast TV), NC (National Cable), LC (Local Cable), IC (Internet Channel) (None) R TV NC LC IC Station Details * Please list all of your station details in this format "Call Letters-Band" Traffic/Billing System * Please Enter your Traffic/Billing System name or vendor name here. If you don't know which one you use, enter "don't know I have read, understand, and agree to the websites Privacy Policy and EULA. * I Have read the privacy policy and the EULA and agree to the terms and conditions Comments Billing Agreement * By Marking the check box below you are agreeing to be charged $36 Per month for electronic invoicing services I Agree to the Billing Terms above Thank you for registering for Electronic invoicing for the MXD platform. Your account will be setup within the next 2-3 business days. Once your account is set up you will receive an email with your account information and instructions on how to access your account. Once again thank you for choosing AdCore Local and its Platforms for your Electronic invoicing needs.