Shop | Save | Support Merchant Agreement
NOVEMBER 1 – 19, 2017
Business Name *
Exactly as it is to appear in all Shop | Save | Support materials
Your answer
Business Description *
Your answer
Total Number of Participating Locations *
Business Location *
Please include full address information : Street address, city, state and zip code.
Your answer
*Additional Business Location(s)
Please include full address information : Street address, city, state and zip code.
Your answer
Please check only if you are an Online Merchant *
Please provide discount code for shopping period only if you are an Online Merchant
Your answer
Business Telephone *
Your answer
Business Fax
Your answer
Primary Business Contact *
Please include the following information: first and last name, title
Your answer
Primary Business Contact : Telephone *
Your answer
Primary Business Contact : Email *
Your answer
Business Website *
Your answer
Additional Media Sources *
This might include Facebook page, Instagram account, etc.
Your answer
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