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PRIVILEGES CARD – OFFER A PRIVILEGE TO OUR MEMBERS
Name of Company
*
Brand/Name of product (if apply)
Address
*
Phone
*
Email
*
Website
*
Contact
Name of contact
*
Position
*
Mobile
*
Email
*
Title of special offer (as will appear on our website) (140 signs maximum)
*
Type of special offer
*
Special promotion
Discount price
One time offer
Groupon
Free product or service
Other offer
Other offer
Offer valid from
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
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31
Year
Year
2021
2022
2023
2024
2025
2026
2027
To
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
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31
Year
Year
2021
2022
2023
2024
2025
2026
2027
Description of offer (1000 signs maximum)
*
Logo of company (.jpg, .gif or .png)
*
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png
.
Picture to illustrate this offer (.jpg, .gif or .png)
*
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png
.
Link related to this offer (facultative)
Other document related to the offer (facultative) (.pdf, .jpg., .gif or .png)
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png pdf
.
Keywords
*
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I have read, I understand, and I agree to abide by the above terms and conditions.
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