Business Registration Form

Business Name*

Business Category*

Address

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Business Phone*

Business Website*

Contact Person*

FirstLast

Contact Email*

Contact Phone*

Everyday Rewards (offered & valid every day from July 1, 2011-June 30, 2012). please provide your deal with a SHORT Description. Lengthy descriptions will be edited down.*

Examples: XYZ Dry Cleaners—15% off dry cleaning, PQR Bank--.05 % higher rate on Certificates of Deposit (Limited to 140 character description)

Are you interested in offering a one-week only “Hot Deal”?*

Yes
No

Examples: 40% off entire check at ABC Pizzeria; $75 in salon services for $35, $75 off personal tax preparation. 20% off class series at JKL Yoga

Ideally, when would you like your "Hot Deal" to be featured?

July-September
October-December
January-March
April-June

Select all that apply

One line title description of One-Time Hot Deal (offer limited to one week validity period)

Description of Hot Deal

Limitations & Exclusions

Examples: Limited to first 100 appointments, Excluding aestician and massage services.

Does your Weekly Deal have a limit on redemptions?

Yes
No

How many redemptions is your hot deal limited to?

If yes, what system are you going to use manage your limit?

Schedule Appointments (once I hit my limit, I will stop scheduling)
Make Reservation
Voucher - come into the store to pick up
Voucher - call to receive voucher by e-mail
Voucher - e-mail to receive voucher by e-mail

(select all that apply)

Upload your company logo for use in Hot Deal promotions

All graphics must be square, to enable common resizing for all companies. Graphics that are not square will not be used.

Promotional Description of your business Hot Deals Only (limited to 120 words)

All descriptions longer than 120 words will be edited.