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Retail Partner Sign-Up
Name of Business: *
Business Address: *
Business Phone Number: *
Business Website:
Discount or incentive being offered: *
Timeframe incentive is valid: *
Brief description of your business:
Name of contact person: *
Contact phone number: *
Contact email: *
Facebook:
Raffle donation:
Gift card or other donation to Green Streets' monthly Walk/Ride Day check-in raffle. Your donation will be advertised on Green Streets' website and in e-newsletters. If donating, be sure to include the value of the donation.
Wallet cards and bookmarks:
Would you like us to let you know about advertising opportunities when we next print Green Streets Wallet Cards and Bookmarks?
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This form was created inside of Green Streets Initiative.