Coupon Submission Form
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1. Coupon Information
Thank you for promoting our local economy by submitting a coupon. Please be aware that coupon processing can take up to 96 hours.
Coupon Style
*
1
. Please enter what you would like your coupon to say in 50 words or less.
Please enter what you would like your coupon to say in 50 words or less.
*
2
. Is this coupon only valid for a specific location?
Is this coupon only valid for a specific location?
Yes
No
If so, please enter location.
*
3
. Would you like to add a logo or extra graphic to your coupon?
Would you like to add a logo or extra graphic to your coupon?
Yes
(Please email all graphics and logos for your coupon to
chearn@cscc.org
.)
No
*
4
. Do you offer an additional discount to fellow Chamber members?
Do you offer an additional discount to fellow Chamber members?
Yes
No
If so, how much?
*
5
. Please enter your information, for contact and member verification purposes.
Please enter your information, for contact and member verification purposes.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:
Remember, these coupons are best promoted with a link from your site to our coupon page! If you have any other questions or would like some help with linking back to us, call Chris Hearn at 719-575-4318 or email him at
chearn@cscc.org
You can also download
The Chamber Member Logo
for your website & collateral!
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