The The LocalBenefits Rewards Card 2009

Please complete the following form to enroll your business. After you submit this information, you will be taken to a secure page where you can submit your payment information. Once enrolled, you will receive an email confirmation giving you your login information so you can login to your account to make any necessary changes in the future and to check your customer database.

Your LocalBenefits Representative:
Business Name:
Contact Name:
Title:
Contact Email:
Phone:
Alternate Phone:
Address:
City:
County/Parish:
State:
Zip:
Country:
Your website url:
Company Email:

Type of Business Organization:
Company Slogan:
Hours of Operation:
Main Product or Service:
Other Products or Services:
Awards, Accreditations or Affiliations:
Years in business:
Number of Locations:		You can list all locations below

This section is for your special offers and rewards. These offers can be changed at any time when you login to your account. For more information on how the rewards program works and for examples of how to structure your rewards, click here. We have 3 different Rewards Cards (1-Green-consumer, 2-Gold-VIP-consumer, 3-Blue-Business Partners). You can choose to offer different rewards to these cardholders or you can elect to have the same reward for all. We have 2 Reward levels: (1) Savings Now (instant Reward) - Cardholder gets this offer on each visit simply for presenting their card (this reward serves as an incentive to get the customers in your business). (2) Rewards Later (Points) - Customer receives 1 point for every dollar spent on each visit. When the customer reaches the number of point you choose, they will receive a reward certificate (you decide the reward).
Reward 1:
Savings Now Reward: [Instant Reward] - Special Offer just for presenting their Rewards Card
Savings Now Special Offer: (Optional)		This is the offer that the cardholder receives on every visit when they make a purchase. All they have to do is show you their card to get this offer. Can have multiple offers.

Rewards Later - Cardholders Accumulate Points for Rewards You choose the reward and the required number of points (dollars spent) required to get it.
What Reward do you wish to give the Cardholders when they earn the required points?:		The Cardholder will download a gift certificate from the LocalBenefitsRewards website entitling them to whatever reward you choose to give. The reward can be a specific dollar amount or a specific item. [examples]

Points Required for the above reward: (1 Point for each $1 spent)	if other, enter here:	This is the number of points that the customer must accrue in order to receive the reward above. Cardholder receives 1 point for every dollar spent.
Reward 2:
Gold Card Rewards for VIP Customers
Gold Cardholders are very special customers. They have proved their loyalty by spending over $5,000 in the LocalBenefits network so you definitely want to attract these customers. If you can, give Gold cardholders a little better reward than the reward for Green Cardholders. This will make the customers spend more in order to get their Gold Cards. [examples]
Check here if you want the Gold Card rewards to be the same as the Green Card rewards above.
Gold Savings Now - [Instant Rewards] - Special Offer just for presenting their Gold Rewards Card
Savings Now Special Offer for Gold cards Only: (Optional)		This is the offer that the Gold Cardholder receives on every visit when they make a purchase. All they have to do is show you their Gold Card to get this offer.

Gold Points Reward:		Gold Rewards are optional. If no Gold Reward is listed then no Gold Reward will be shown on your LocalBenefits Reward webpage. The Cardholder will download a gift certificate from the LocalBenefitsRewards website entitling them to whatever reward you choose to give. The reward can be a specific dollar amount or a specific item. [examples]

Points Required for Gold Reward:	if other, enter here:
Reward 3:
Blue Card Rewards for Business Partners
Blue Cardholders are our business partners, your fellow entrepreneurs. Since we are all in this together, it's imperative that we support each other by patronizing each other's business. After all, we are consumers too. If you would like to give a special offer exclusive to our business partners, list it here.
Check here if you want the Blue Card rewards to be the same as the Green Card rewards above.
Blue Savings Now - [Instant Rewards] - Special Offer just for presenting their Blue Rewards Card
Savings Now Special Offer for Blue cards Only: (Optional)		This is the offer that the Blue Cardholder (Business Partner) receives on every visit when they make a purchase. All they have to do is show you their Blue Card to get this offer.

Blue Points Reward: (Optional)		The Cardholder will download a gift certificate from the LocalBenefitsRewards website entitling them to whatever reward you choose to give. The reward can be a specific dollar amount or a specific item. [examples]
Points Required for Blue Reward:	if other, enter here:
Disclaimers
Disclaimers for your special offer(s):
Check off any disclaimers that you would like to have posted on your website with your offer(s):
	Not valid with any other discount, coupons or special offers	Certain restrictions may apply, see merchant for details.
	Must present card for special offer	Subject to change at any time.
	Valid at participating locations only	Void where prohibited
	need another disclaimer, enter it here:
Logo & Comments
Upload Your Logo:	Mike, do your thing here	Preferred Size: 225 x 225

Fundraising
LocalBenefits rewards non-profit organizations for sending customers to our merchants. To participate and have your business promoted as a participant in our fundraising program, you must agree to donate 1% of the sales volume from cardholders to the non-profit pool. You may join the program at any time in the future or discontinue at your discretion.
Fundraising (optional):


Comments:
Additional Locations
Additional Locations: (if any) Give us the address, phone, email, etc.	List Additional Locations Here


When you click submit above, you will be directed to a secure page where you can enter your payment information. Once enrolled, a LocalBenefits representative will contact you to go over the information and answer any questions you may have as well as schedule delivery of your marketing tools, training and formatting your terminal.

We Appreciate Our Business Partners