Preferred Partner Application
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Email *
Read and Understand Preferred Partner Commitment* *
Required
Business Name *
Street Address *
Street Address 2 *
City *
State *
Zipcode *
Area Code & Phone Number *
Primary Contact (First and Last Name) *
Contact Email *
Website URL: *
Your Name (First and Last) *
Mobile Number: *
Email: *
Describe your business, i.e. what type of products and/or services offered? *
Why are you interested in joining our Preferred Partner Program? *
Will you advertise our Preferred Partner logo with a link to our website on your website or Facebook Business Page? *
Required
Discount level commitment you will offer to members of the Club? *
How will members obtain the discount? *
If you have any expectations or need further clarification regarding the mutual benefits of our Preferred Partner Program, please include those comment here. *
By signing (typing your legal name) in the space below, you are certifying  that all the information is correct and that you are the person completing this application. When you press the Submit button, you will receive an email confirmation that your application was received. Please print for you records and retain as verification of your application. *
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