Retailer Sign-Up

To participate as a retailer in Shop Save & Share, please fill out the form below. If you have any questions, please contact shopsavesharejlbham@gmail.com.

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Store Name*
What area is your business located?*
If you have an online store and not a physical location, you can simply select "Online" and you will be listed with our "Online" stores. Please do not select other areas if you are not physically located in those areas.
Enter "Other" Business Location
Contact Name*
Contact Email*
An email to finish setting up your account will be sent to this email address.
Contact Phone Number*
Business Description*
Please add a store description for the printed booklet.
Business Category*
Business Website
This will be published in the booklet should you provide it. Please add http:// and then your website address.
Business Phone Number
This will be published in the booklet should you provide it.
Business Address
This will be posted in the booklet

Street Address City State ZIP Code
Do you have multiple locations?*
Other Locations*
Please list all additional locations below.
Discount Code*
Will you have exclusions?*
Exclusion Information*
Please include any exclusion information that would be pertinent for our shoppers to know.
Additional Info
Please list any additional information you need us to know here.
Acknowledgement*
I acknowledge that I am authorized to register this business to participate in Shop Save & Share 2022 and will honor the 20% discount to card holders during the Shop Save & Share sale period. Please type your name and title.
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Comments
This field is for validation purposes and should be left unchanged.