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Merchant
Name & Mailing Address
Merchant Name:
Address:
City:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
New Foundland
Northwest Territories
Nunavut
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code:
Phone:
Fax:
Email:
Website Link Name / URL:
/
Contact Information
Your First Name:
Your Last Name:
Title / Position:
Phone:
Fax:
Email Address:
Facility Description
Promotional Offer
Participant agrees to provide the following discounts and/or services to Rewards Access members:
Usage Allowed per Season:
Repeat usage allowed (without coupon)
Repeat usage allowed (with coupon)
4 times allowed per season
6 times allowed per season
8 times allowed per season
10 times allowed per season
Upload Logo
Specify file name for logo to appears on your home page:
Select Picture Layout
Select the layout you would like your pictures to be arranged on the home page. For best result, use
the size specified below your selection. (Height x Width in pixels).
(1: 250x377)
(1: 250x188, 2: 250x188)
(1: 25x377, 2: 125x188, 3: 125x188)
Picture Upload
Specify file name for pictures :
1-
2-
3-
Directions
Please provide concise directions to your facility or specify the URL below:
Url Links
Use the following to specify additional url links you would like users to go and view detailed information about your facility.
Link Name:
URL:
Link Name:
URL:
Link Name:
URL:
Link Name:
URL:
Link Name:
URL: