Taggbox Social Wall (Display) & 6Connex Referral Form

Full Name*

Email*

Phone Number

Job Title

Company Name

My 6Connex Representative*

Event Name*

Event Type—Please choose an option—ConferenceCorporate Social EventSchool/University EventFundraising/CharityPublic Social EngagementPrivate CelebrationOther

Event Start Date

Event End Date

Plan Selections*—Please choose an option—One Day Event Pass (Real Time Updates with 2 Social Feeds & 5 Screens at $149/Day)Monthly Events (Real Time Updates with 10 Social Feeds & 10 Screens at $599/Month)Launch (Every 15 Min Updates with 2 Social Feeds & 5 Screens at $99/Month)Engage (Every 10 Min Updates with 10 Social Feeds & 5 Screens at $199/Month)Professional (Every 5 Min Updates with 20 Social Feeds & 10 Screens at $299/Month)

Additional Comments