Vendor Registration
CHOOSE EITHER
A BASIC LISTING ON OUR LINKS PAGE
A BASIC LISTING ON OUR LINKS PAGE LISTING FREE! A PREFERRED LISTING ON VENDOR LISTINGS PAGE
A PREFERRED LISTING ON VENDOR LISTINGS PAGE
BUSINESS NAME:
CONTACT NAME:
PHONE:
FAX:
CATEGORY:IF OTHER(PLEASE SPECIFY):
IF OTHER(PLEASE SPECIFY): E-MAIL:
ADDRESS:
City:State:Zip:BASIC (OR) PREFERRED LISTING (EITHER FREE):
WEBSITE URL:
YOUR WEBSITE'S
HTML CODE:
(BANNERS/LINK PHOTOS
PLACED ON LINKS PAGE)
DO YOU OFFER DISCOUNTED RATES/ PRICING TO OUR REFERRAL CLIENTS?
PLEASE RESPOND WITH ONE OF THE FOLLOWING:
YES! We will offer QuickCare clients a discounted rate of: % (or) $ OFF of their next event with our company. Or you may respond with the following discounted terms/agreements -
(OR)
IF NO, PLEASE COPY/PASTE THIS STATEMENT INTO THE BOX BELOW:
NO. At this time, we unfortunately do not offer QuickCare referral clients a discounted rate/pricing with our company.
ADDITIONAL
COMMENTS:
