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PSP Member Perks Program Enrollment Form

 

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Please fill out the following information:

Please fill out the following information:   Name of Business
Name of Owner/Store Manager
Phone Number
E-mail Address
Web Address
Address
City, State, Zip Code
Type of Business

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Are you willing to participate in this program for one year?
(After 1 year in the program, your participation will continue until you terminate this agreement.)

Are you willing to participate in this program for one year? (After 1 year in the program, your participation will continue until you terminate this agreement.)   Yes

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Describe the discount you would like to offer Park Slope Parents members (i.e., what % off of merchandise, services, membership, etc)

Describe the discount you would like to offer Park Slope Parents members (i.e., what % off of merchandise, services, membership, etc)

Are there any other issues or terms that you would like to specify? (e.g., discount only valid with proof of membership, or discount may not be used in conjunction with other offers, online coupon code)

Are there any other issues or terms that you would like to specify? (e.g., discount only valid with proof of membership, or discount may not be used in conjunction with other offers, online coupon code)

We have either a window decal (clear) or a sticker (white background) if you have a storefront where you want to display your PSP Membership Perk. We also have a graphic which you can put on your site for website visitors. Which, if any of these, would you like?

We have either a window decal (clear) or a sticker (white background) if you have a storefront where you want to display your PSP Membership Perk. We also have a graphic which you can put on your site for website visitors. Which, if any of these, would you like?   Window Decal (clear) Sticker Graphic (.jpg) None of the above

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Please agree to the following terms by checking the box below:

By checking this box, you agree to offer the above mentioned discount to Park Slope Parents members. Park Slope Parents reserves the right to terminate this program at any time for any reason. You may terminate your participation in this agreement by allowing 30 days for us to process your written termination notice mailed to Park Slope Parents, 438 12th Street Ph C, Brooklyn, NY 11215.

Please agree to the following terms by checking the box below: By checking this box, you agree to offer the above mentioned discount to Park Slope Parents members. Park Slope Parents reserves the right to terminate this program at any time for any reason. You may terminate your participation in this agreement by allowing 30 days for us to process your written termination notice mailed to Park Slope Parents, 438 12th Street Ph C, Brooklyn, NY 11215.   I Agree