The VIP Card

No-Cost Participation Agreement Form

Required fields are marked by (*)

Business Name*

Business Description*

Business Owner First & Last Name*

One Location Multiple Locations

Business Street Address*

None Suite Unit

City*

State*

Zip*

Business Street Address*

None Suite Unit

City*

State*

Zip*

Location Phone

Saved Locations

Business Phone*

Business Fax

Web Site

Contact Email Address

Detailed Description of the Special Offer*

Short Description of the Special Offer (ie. "2 for 1 Entree")*

Please select the category for this vendor*

Check this box if you are interested in advertising your business with The VIP Card

By submitting this form, you are agreeing to provide the above mentioned special offer to the public providing their VIP card upon purchase. Your offer must be good for re-occurring visits throughout the calendar year of the card issued. Your offer will be extended to the following year unless otherwise notified to The VIP Card.
All agreements will be validated. Incorrect or incomplete submittals will not be accepted. If a submittal is found to be fraudulent, with the intent to deceive or harm The VIP Card, Inc, or its affiliates, the submitter will be held liable for any damages or lost income due to their actions.

I Agree

No-Cost Participation Agreement Form

The VIP Card reserves the right to refuse any vendor discount submission.