New SCRIP vendor suggestions
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1
. Please enter your Name and EMail so we can contact you for additional information or follow-up.
Please enter your Name and EMail so we can contact you for additional information or follow-up.
Name:
Email Address:
2
. Which Pizza places do you frequent that we do not already stock? (Select all that apply)
Which Pizza places do you frequent that we do not already stock? (Select all that apply)
Duneland Pizza
Godfather's Pizza
Val's Pizza
Other (please specify)
3
. Which other restaurants do you frequent that are not already stocked? (Select all that apply)
Which other restaurants do you frequent that are not already stocked? (Select all that apply)
Bartlett's
El Amigo
Hacienda
Lucrezia
Qdoba
Santiagos
Sunrise Cafe
Taj
Other (please specify)
4
. What Service providers do you personally frequent that you would recommend adding to the SCRIP program? (eg: Auto repair, hair styling, carpet cleaning...) (Select all that apply)
What Service providers do you personally frequent that you would recommend adding to the SCRIP program? (eg: Auto repair, hair styling, carpet cleaning...) (Select all that apply)
Dean's Tire and Lube
Meijer
Michael's Auto Repair
ProNails
Other (please specify)
5
. Which other vendors would you suggest adding to the program? (Select all that apply)
Which other vendors would you suggest adding to the program? (Select all that apply)
Blythe's Sporting Goods
Portage Beef Mart
Valpo Beef Mart
Other (please specify)
6
. What other comments would you like to share regarding the SCRIP program?
What other comments would you like to share regarding the SCRIP program?
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