Community

Co-op Connections Partner Agreement

Today's Date*
MM slash DD slash YYYY
Name of Business*
Website URL
Business Phone*
Business Hours*
Category*
Contact Name*
Contact Title*
Contact Email*
Contact Phone*
Business Street Address*
Business City, State, Zip*
Multiple Locations
- Yes, I have multiple locations this offer can be redeemed.
Additional Locations
Business Street Address Business City, State, Zip
Mailing address different?
- Yes, please mail correspondence to a different address.
Mailing Street Address*
Mailing City, State, Zip*
Discount offered to Co-op Connections cardholders*
How often can members redeem your discount?*
Tell us about your company*
Business Logo*
Please provide us with your business logo.
Max. file size: 100 MB.
Business Pictures
Please provide us with up to three pictures of your business.
Drop files here or

Max. file size: 100 MB, Max. files: 3.
Stickers
Each program partner will receive a Co-op Connections package, which includes window and cash register stickers to display in your business helping to identify you as a participating business. Please indicate how many window stickers and cash register stickers you need.
Window Stickers*
Please enter a number greater than or equal to 0.
Cash Register Stickers*
Please enter a number greater than or equal to 0.
Additional Terms and Conditions*
Additional Terms and Conditions (PDF)
- I agree and I have read and understand the Additional Terms and Conditions
Agreement*
- By checking this box I, as the above-named business, agree to be a MVEA Co-op Connections business. I understand my discount will automatically renew annually until I contact MVEA.
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Phone
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