Merchant Agreement

You may also download this document and fill it out offline, then send it to us… Download it HERE

Company Information

Use main location if multiple locations

Company Name

DBA

Company Address

City

State: - Zip:

Company Email

Company Phone

Company Fax

 

Contact Information

Primary Contact

Contact Email

Contact Phone

Contact Fax

Which category are you interested in reserving? Select only ONE

  • Automotive -
  • Home Improvement -
  • General Services -
  • Entertainment -
  • Food and Dining -
  • Health/Beauty -

 

Promotion being Offered

Please note: The following disclaimer will appear on all discount cards printed under this agreement. “Valid for cardholder only * Present card when ordering *
Not valid with other sales or discounts * Equal or lesser value always applies * Offers may vary * Good only at participating locations * Once card per visit/table”

Percent Off

Discount Percentage:

Discount Applies to:

If you selected other:

Amount Off

$ off purchase of or higher

Buy 1 Get 1 (BOGO)

Buy one , get one for

Free Item

Please describe in detail: (e.g. "Free gift certificate with test drive")

Other discount

Describe your offer EXACTLY as it is to appear on the card:

 

Upload Logo

You authorize the use of the logo you will provide - if one is not provided your company will be listed in TEXT form. Acceptable file types are jpg, png, bmp, gif.

 

AUTHORIZATION:

CitySavingsCard.com provides full color community cards to local professionals including but not limited to School Teachers-Fire Fighters-Policeman and all branches of our Military as "thank you gifts" for the valued service.

We work with a variety of local businesses in the community, to provide a wide array of popular choices that help create a community card that represents our appreciation and one that our local professionals can be proud to use.

The offers are valid for 6 months and you will have exclusive rights to your category for as long as you participate in the community card program.

You authorize the use of the logo you will provide - if one is not provided your company will be listed in TEXT form.

I AGREE I understand and agree to the terms listed above, and have read the Terms and Conditions.

Please write your name in this box as the Primary Contact, this effectively signs this form: