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Store Sign Up

2019 Shop With Heart Card

April 26 - May 5, 2019

By submitting the agreement below you are agreeing to the Retailer Terms and Conditions

Business Category Listings

Categories in which you wish to be listed under (select a maximum of 3 business categories):*

Antiques

Art, Framing & Photography

Baby & Maternity

Baggage and Travel Accessories

Beauty & Spa

Books, Cards, Stationary, & Corporate Gifts

Children's Fashions, Toys & Shoes

Entertainment

Flower, Garden & Outdoor

Home Furnishings & Home Decor

Jewelry & Jewelry Services

Men's Fashions, Shoes & Accessories

Men's & Women's Fashions, Shoes & Accessories

Personal & Professional Services & Products

Pet Products & Services

Restaurants & Specialty Foods

Specialty Retail & Gifts

Sporting Goods, Health & Physical Fitness

Women's Fashions, Shoes & Accessories

*Please select one or more values

Proposed Shopping Area

Select the shopping area that best describes where your business is located.:*

*Please enter a value

Store Description

Please describe your business, feature products or services and detail any exclusions. (Up to 15 words):*

*Please enter a value

Sales Process

Please select the sales process you prefer to use for administering Card sales.:*

SKU: Agree to setup a non-merchandise point of sale in store's system to collect customers' payment and information!

Manual: Agree to complete the payment slip to collect customers' payment and information.

*Please enter a value

(Optional) Highlight Your Business for a $200 Donation

To increase the visibility of your business and further utilize the marketing capabilities of our program retailers who choose this option will receive heightened visibility by being highlighted in RED in their directory listing and website, added recognition on our website in addition to other marketing opportunities.:

Yes

Contact Information

Company:

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First Name:*

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Middle Name:

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Last Name:*

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Address:*

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Address2:

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City:*

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State:*

Province State is required for the United States

Postal Code:*

Please enter a value for Postal Code: Please enter a valid postal code.

Country / Location:*

Country is Required

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Email:*

Please enter a value for Email: Please enter a single valid Email.

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