Fillable WEEVIL PERKS Registration Form Vendor request to participate (University of Arkansas - Monticello)

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WEEVIL PERKS Registration Form Vendor request to participate (University of Arkansas - Monticello)

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The WEEVIL PERKS Registration Form Vendor request to participate (University of Arkansas - Monticello) form is 1 page long and contains:

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WEEVIL PERKS Registration Form
Vendor request to participate in Weevil Perks
Name of Business: ____________________________________________________________________
Name of owner or authorized agent: ______________________________________________________
Business Telephone Number: ___________________________________________________________
Business Email Address: _______________________________________________________________
Business Location Address: _____________________________________________________________
____________________________________________________________________________________
Business Mailing Address: ______________________________________________________________
_____________________________________________________________________________________
Please enter a brief description (no more than 50 words) of your discount offer as you would prefer it to
appear on the website:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please list how to redeem this discount (i.e., present a valid UAM ID card at checkout, visit our web site
for details on receiving your discount, etc.):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
By submitting this Participation of Understanding document, you agree that this is not a contract with the
University of Arkansas at Monticello. Submitting this document, you agree to provide all the necessary
information to have your discount listed on the UAM Student Programs and Activities web site. Failure
to provide all such information could result in a delay in processing your form. You agree to provide
written notification to the Office of Student Programs and Activities about discontinuation or any other
information about your discount that may not meet the mission and values of the University of Arkansas
at Monticello.
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WEEVIL PERKS Registration Form Vendor request to participate (University of Arkansas - Monticello)

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Completed 2 February 2021

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