Business Type (Please list types of products & Services):
Physical Business Address:
City: State: Zip:
Mailing Business Address:
City: State: Zip:
Website:
Owner Name(s):
Manager Name(s):
Business Phone: Owner/Manager Phone:
Business License # State where issued:
Sales Tax Exempt Number (if any):
Do you accept credit cards? Y or N If yes, please list types:
Do you have more than one location? Y or N
If yes, please list all locations you are willing to honor the "Jon's Adventure" Club Card:
(Use back of paper if needed.List addresses, phone numbers, and manager names)
If you only handle web businesses, please initial here:
(We will only list your mailing address, website and customer service phone #)
I/we agree to honor "Jon's Adventure" Club Cards at the above business location(s), and/or website(s). I/we understand if I/we no longer want to participate in the discount card program, I/we must notify "Jon's Adventure" Club Card program by mail, at which point, the business will be removed from our list and services. I/we also understand we must offer some type of benefit to "Jon's Adventure"Club card holders. The Discount is left to our discretion and may be a weekly, or monthly promo. Limitations and parameters are to be set by our business.