Please submit this form if your company is interested in strategic partnerships with nextPix.  This form helps us respond to the numerous proposals we get each month. Please carefully read through this form and fill it out in its entirety.
Company Name:
   
Type of Company:
 
First Name:
 
Last name :
 
Title:
 
Email Address :
 
Phone:
 
City:
 
State:
   
Home Page URL:
 
Page Views/Month:
   
Please give a brief description of your proposed partnership with nextPix as well as any additional information or details that may be helpful.  To the extent possible, please include specifics on the structure of your partnership and how your partnership would benefit nextPix and/or the nextPix user experience.
Any ideas, proposals, or other information submitted or collected on this form shall be considered non-confidential. By submitting this form to nextPix, you agree that nextPix shall not be under any obligation of confidentiality or non-use, express or implied, with respect to any such Information, and nextPix may disclose or use such Information for any purpose whatsoever, at its sole discretion, with no obligation, express or implied, to compensate or work with the person or entity supplying the Information in any manner. If you desire any Information to be considered confidential, DO NOT submit this form to nextPix.