YES

I AM A BUSINESS. I WANT TO PARTICIPATE IN THE SHOP CHAMBER . PROGRAM AND OFFER SOMETHING SPECIAL TO MY CARD HOLDING CUSTOMERS. (Please list discount offer below, discount must have dollar value)

 I WOULD LIKE A SHOP CHAMBER CARD AND ENJOY THE DISCOUNTS OFFERED.

Dates

Business

Contact Name

Address

Suite

City

State

Zip

Telephone

Fax

Email

Discount Description

• Please limit discount /offer description to 10 words or less using abbreviations where possible.  Offer is valid for one year from date of acceptance.