Merchant Signup Form

*Company Name

*Short Description of Perk (This should be a very short teaser message of up to 50 characters ie. Save 20% off any Gourmet Burger)

*Perk Details (This is a complete description of the Perk detail. Ie. Save 20% OFF any Gourmet Burger. Excludes Alcohol. Must show Student Perk Pass at time of purchase.)

*Primary Category

Secondary Category (Optional)

Website Address (Optional)

Instagram Handle (Optional)

Facebook Handle (Optional)

Twitter Handle (Optional)

*About Us Supply a descriptive paragraph about the business up to a maximum of 250 words.

*Launch Date

Expiry Date (Optional)

This offer has a physical location

Address Details

Address

City

Province/State

Postal/Zip Code

Phone Number (Optional)

Hours of Operations

Monday (Optional)

Tuesday (Optional)

Wednesday (Optional)

Thursday (Optional)

Friday (Optional)

Saturday (Optional)

Sunday (Optional)

*Logo

Drop files here or click to upload.

Expected image size is: 800x800

This information will only be used to contact you about your submitted perk.

*First Name

*Last Name

*Email

Phone (Optional)

Becoming a partner has its PERKS!

Merchant Signup Form

Details

Locations

Address Details

Hours of Operations

Media

Contact Information