Merchant Partnership Form
Email address *
First and Last Name *
Please help us with your full name.
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Phone Number *
Please include all the digits of the dialling code without prefixes (+) of your work or cellphone.
Your answer
Website URL *
Please enter your website URL such as www.abc.com
Your answer
Please briefly describe the discount you want to offer to BenefitHub members.
Your answer
Comments?
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