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Check all that apply:

License type:
I want to apply for an AdChoices Icon LicenceI want to apply for integrating with the Consumer Choice Platform at www.youronlinechoices.eu

Identification data:

Company Name:

Company registered address:

Building / Number:

Street address:

City:

Postal code:

Country:

Main (corporate) company website URL:

Contact person:

Contact Name:

Email:

Phone Number:

Role in the market:

Company is involved in Data-Driven Advertising:

Please tick the applicable boxes below

Company acts as a Web Site Operator:
Yes

Company acts solely as a Web Site Operator, as defined in the European Principles documents

Company acts as a Web Site Operator and also sells advertising inventory on web sites under Common Control (as defined in the European Principles documents) via a Sales House or similar subsidiary

Company acts as a Third Party as defined in the European Principles documents.:
Yes

Ad Network

Ad Server

OBA Provider

Ad Exchange

Demand Side Platform

Supply Side Platform

Other role, please describe:
Yes

Company is Small or Medium Enterprise:

A company is considered to be a Small or Medium sized Enterprise (SME) if its annual revenue from online display advertising is below the threshold of 3,000,000 (three million) EUR. This revenue is based on the last historical financial year.

Check all that apply:

Identification data:

Company registered address:

Contact person:

Role in the market:

Please tick the applicable boxes below

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