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Merchant Registration - Top Dollar Fundraisers Discount Card Promotion  
Please fill in all fields marked with a *
Business Name *
Phone Number *

Participating Location 1 - Please include - Street Address - City - State & Zip Code on each entry.

*
Participating Location 2
Participating Location 3
Participating Location 4
Participating Location 5
BUY at regular price
GET FREE
Percent Off
Other Offer - Enter offer EXACTLY as you want it to appear on the card.
Discount Expires

*

Discount can run longer if you wish; just change to desired date beyond the one entered above.

Name

I AGREE TO ADVERTISE ON THE FUNDRAISING DISCOUNT CARD AT NO COST TO ME OR MY BUSINESS

My business will accept the following offer specified on the card and honor them until at least May 31, 2011. I grant Top Dollar Fundraisers full permission to put the business’s logo on the card and to include our business as a past vendor in advertising and promotional campaigns.

*
Title *
Authorization Code *
Signature Date *
Email Address *
Fax

The following stipulations will be printed on ALL cards- MUST PRESENT CARD AT TIME OF ORDER • EQUAL OR LESSER VALUE NOT VALID WITH ANY OTHER OFFERS, COUPONS OR SPECIALS • LIMIT ONE OFFER PER CARD PER PERSON PER DAY • NOT TRANSFERABLE • OFFER SUBJECT TO CHANGE WITHOUT NOTICE • ADDITIONAL TERMS AND CONDITIONS MAY APPLY

              

If you have any questions please contact us at - merchantreg@topdollarfundraisers.com

Top Dollar Fundraisers is a subsidiary of Van's Designs Co. Sioux City, IA