Pharmacy Digital TV Signage Signup Form

Step 1 of 2: Submit

Please fill out this form completely and click continue. Once we receive this information we will prepare your signage player for shipment.


Do you Need a TV for your pharmacy? We will be Sending out TV's between 37 and 42 inches. 
Please Check All Products Or Services That Apply To Your Pharmacy
Do you have a logo you would like us to use?

If yes please email the logo to Jim.Stock@worldwideaudiomedia.com please send as JPG, PNG, or EPS.. Thank You

How did you hear about us?
I Understand that once I receive my digital signage player from World Wide Audio Media I will be billed a monthly fee of 60.00 per month. 
I understand that if at any time I cancel the service I must return the digital signage player or I will incur a one time 495.00 charge. 
I understand that if I have opted to receive a Free TV that I am entering into a 24 month commitment 
I understand for the digital signage player to work at optimum performance I will need to run a Cat 5 Cable from my router into the Digital Signage Player that World Wide Audio Media will provide me