Application For Billboard Location Form

Applicant Name: *
FEIN: *
Email *
Ownership:
Incorporation State:
Incorporation Date:
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Is Applicant a Certified Disadvantaged Business Enterprise:
YesNo
If so, please submit a copy of your Certification with application.

Owner:
Map/Parcel No. (if known)
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
County:
Description of location:

Number of faces:
Face size:
Min height to bottom of sign:
Overall height:
Display Type
Single faceStaticTri-VisionLEDIlluminatedDouble faceBack to back15’ V-type20’ V-type# of lights per sideStackedCenter MountFull FlagSemi FlagTri-Vision ReadyCantileverOffsetTri-Face
Proposed location will be visible from:
Federal Interstate HighwayState HighwayOther Route
Monthly Projected Revenue
Annual Projected Revenue
Monthly Proposed Ground Rent
Annual Proposed Ground Rent

Does applicant own or manage billboards in proximity to the location applied for?
YesNo
If so, how many %
of current occupancy
Average lease rate (per month) of occupied faces
Average lease term (in months) of occupied faces
Are there billboards (other than applicant owned) in proximity to the location applied for?
YesNo
If so, how many %
of current occupancy
Other Remarks:

Instructions A minimum of 3 photographs are to be included with application submission along with your diagram.
Upload Photo 1 *
Upload Photo 2 *
Upload Photo 3 *
Upload Diagram *

Mahalo Marketing, Inc.
PO Box 208
Braselton, GA 30517
Office: 404.681.9700
Fax: 678.828.5926

General Inquiries: info@mahalomarketinginc.com

Mahalo Marketing, Inc.