Become a Retailer 2020 - ACS Holiday Shopping Card

Which Statement Best Describes You

I am a:*

Merchant who is new to Holiday Shopping Card.
Returning Merchant who needs to update my listing information.
Returning Merchant who wants to renew my listing as-is.

1. Location Information

Store Name (as it will be listed in printed materials)*

Store Address (as it will be listed in printed materials)*

Address 2

City*

State*

Zip code*

Website*

Social Media Handles

Store Telephone*

2. Contact Information

Local Contact Person*

Local Contact Telephone

Local Contact Email Address*

Primary Email Address

Enter Email Confirm Email

Corporate Contact Person

Corporate Contact Telephone

Corporate Contact Email Address

3. Section 3 omitted for returning merchants.

3. Description & Exclusions

Directory Description and Exclusions*

Please provide below a brief description of store merchandise, noting exclusions, as it should be listed in The Holiday Shopping Card. VICTORY/The Holiday Shopping Card reserves the right to edit final description.

4. Section 4 omitted for returning merchants.

4. Categorize Your Store

Location*

Area of Town in Which You Wish to be Listed:
(Please check ONE box next to your location, each store will be listed under ONE location)

Category*

Category in Which You Wish to be Listed

Retailer Subcategory

Please select one subcategory

Additional Retailer Subcategories

Eatery Subcategory

Please select one subcategory

Additional Eatery Subcategories

Service Subcategory

Please select one subcategory.

Additional Service Subcategories

5. Participant Agreement & Etiquette

MERCHANT PARTICIPANT TERMS & CONDITIONS

Participant of The 2019 Holiday Shopping Card program agrees to the terms and conditions listed below:

We agree to SELL The Holiday Shopping Card to our shoppers for a minimum of $75 to the American Cancer Society only during the 11-day fundraising event from Thursday, October 24 through Sunday, November 3, 2019 at all of our participating locations.
We agree that American Cancer Society retains ALL proceeds from the sale of The Card and we will remit all proceeds to American Cancer Society.
We agree to PROMOTE The Holiday Shopping Card. Promoting includes displaying materials provided: posters, table tents, and other marketing materials.
We agree that we are financially responsible for the cash value of all cards sold, missing, lost, stolen, and including those with incomplete credit card information. Each card has a cash value of $75. All unsold cards must be returned to VICTORY/The Holiday Shopping Card.
WE AGREE TO NOT ACCEPT CREDIT CARDS OR CHECKS FROM CARD PURCHASERS OUTSIDE OF THE USA – CASH ONLY. We agree that we are financially responsible for any uncollectible card purchases from outside the USA.
We agree that The Holiday Shopping Card is non-transferable and may be used only by the person whose name and signature appear on the Card. Photo identification should be requested.
We agree to advise all store personnel of these conditions and to promote the sale of Cards.
We agree to offer a minimum 20% discount on all regular priced store merchandise for The Holiday Shopping Card holders from October 24 to November 3, 2019 unless merchant is under a contractual agreement that prohibits such discount on specific merchandise. All exclusions must be noted on this agreement.
We agree that we will not replace lost or stolen Holiday Shopping Cards, and we understand the American Cancer Society and VICTORY will not replace lost or stolen Cards.
We understand that VICTORY and The American Cancer Society assumes no liability in connection with The Holiday Shopping Card.
We will not release any The Holiday Shopping Card funds or cards except to authorized VICTORY volunteers.

RESTAURANT PARTICIPANT TERMS & CONDITIONS

Participant of The 2019 Holiday Shopping Card program agrees to the terms and conditions listed below:

We agree to offer one or more of the following promotions (selected below) from Oct. 24-Nov. 3, 2019 to all holders of The Holiday Shopping Card, and to not limit the amount of transactions made during this 11-day period. All exclusions must be noted on this agreement.
We agree to advise all personnel of these conditions and agree to promote the sale of The Holiday Shopping Card by displaying materials provided.
We understand that VICTORY and American Cancer Society assumes no liability in connection with The Holiday Shopping Card.

Terms & Conditions Acceptance*

Yes - I have read and agree to the Terms & Conditions

This agreement and below signature confirms merchant’s participation in The Holiday Shopping Card 2019 fundraising program benefiting the American Cancer Society, a non-profit organization.*

Yes

OPTIONAL: MERCHANT CHOOSES TO HIGHLIGHT THEIR STORE FOR AN ADDITIONAL $250*

Merchants who choose to be highlighted will receive extra recognition with a background around their directory listing, a background around their web listing, and will be featured on our website under the “Premier Retailer” category in addition to other applicable categories.

Yes
No

OPTIONAL: DONATION*

Merchants or Restaurants who are unable to sell the Holiday Shopping Card at their location are encouraged to make a $150 donation.

Yes-We pledge to donate $150 to American Cancer Society
No

VICTORY will include (i) Merchant’s name, (ii) store address, and (iii) a brief description of Merchant’s business (limited to 15 words) in The Card directory.

VICTORY will also include (i) Merchant’s name on The Holiday Shopping Card/American Cancer Society website, Facebook page, Instagram, Twitter, or other printed materials advertising the Event.

Business Name*

Representative Digital Signature*

Date*

MM

DD

YYYY

OPTIONAL: MERCHANT CHOOSES TO HIGHLIGHT THEIR STORE FOR AN ADDITIONAL $250

Merchants who choose to be highlighted will receive extra recognition with a background around their directory listing, a background around their web listing, and will be featured on our website under the “Premier Retailer” category in addition to other applicable categories.

Yes (Pay Now)
Yes (Invoice me)
No

Total

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Merchants are required to receive email updates initially. You may opt-out later if you feel like we're overdoing it.

*Receive email updates from The Holiday Shopping Card

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