Organization Agreement Form

If you are getting "The Works" please be sure to fill out: Organization Agreement, Favorite Business list, Please email us a brief descriptive wrtie up of who you are, what you are raising money for, and your fundraising goals. Please close you letter stating that you have chosen the discount card as a means for fundraising.

Please fill out your favorite business list as thoroughly as possible. Be sure to list the phone numbers for eash business/location that you would like to see on each card. It is important to list at least 3 choices in case we are unable to secure your first or second choices. The more eating establishments you have on the card, the better your card will sell. Since people eat everyday, they will easily recoup their $5-$10 donation by using the card at the places they already patronize.

After filling in as much businesses as possible, please click the "submit" button"

* Marks Required Fields

Organization Name	*
Phone Number	*
Mailing Address	*
Shipping Address	*
City	*
State	*
Zip	*
Fax Number
Coordinator
Title
Home Number
Group Name
Cell Number
E-Mail Address	*
Name to be on front of card
Preferred Delivery Date
Total # of Cards Ordered
Program Options Please select one of the following		Standard (We Get Sponsors) The Works (Discount Card Secures Sponsors) Pre Sale Program Super Saver (Other)
Other (Super Saver)
The Discount Card will offer disconts from local businesses that will be honored for:		6 Months 12 Months
Card Color Preferred
Ink Color Preferred		Other Ink Color Preferred:

Favorite Business Lists

*NOTE: Please fill out your favorite business list if you are going to be signing up for "The Works"

Please expand each catagory to enter your favorite Businesses:

+ Expand/Collapse Fast Food Businesses

+ Expand/Collapse Pizza Restaurants
+ Expand/Collapse Seafood Restaurants
+ Expand/Collapse Steakhouse and Family Restaurants
+ Expand/Collapse Bar-B-Que Restaurants
+ Expand/Collapse Ethnic Restaurants (Mexican, Chinese, Etc.)
+ Expand/Collapse Ice Cream Shops
+ Expand/Collapse Clothing Stores
+ Expand/Collapse Dry Cleaners
+ Expand/Collapse Video Stores
+ Expand/Collapse Book Stores
+ Expand/Collapse Beauty Shopts and Barber Shops
+ Expand/Collapse Florists
+ Expand/Collapse Health Clubs, Tanning Spas, Nails, etc.
+ Expand/Collapse Pet Supplies, Arts and Crafts
+ Expand/Collapse Pet Supplies, Arts and Crafts
+ Expand/Collapse Pet Supplies, Arts and Crafts
+ Expand/Collapse Other Businesses

email: info@thediscountcard.com

or via snailmail:
P.O. Box 2366 � Valdosta, GA 31604-2366
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