pre app qnanza

2
Name: Phone Number: Email Address: Customer Contact Information: PreApplication Days: Monday Tuesday Wednesday Thursday Friday Times: 9 AM 11 AM 11AM 1 PM 1 PM 3 PM 3 PM 5 PM Best Time To Be Reached: Please provide a specific time frame, such as Monday and Tuesday 13 PM. Times are in EST. Example if you choose 9 AM 11 AM and you are in PST, you will receive a call between 6 AM and 8 AM PST. Offer: The face value of your coupon must be a minimum of $15 and be discounted by at least 50% off the retail value. Your offer must be in even dollar amounts only, for example your offer cannot be $30.95. Your offer must include retail value, discount value, and the goods/services being offered. Discounts cannot be applied to the sale of alcohol. Retail Value: Discount: Offer Examples: New Customer Expectations: Please provide a reasonable estimate of NEW customers your establishment can expect to service each PRQWK JLYHQ \RXU FXUUHQW UHVRXUFHV VWDIILQJ VHDWLQJ KRXUV HWF« .HHS LQ PLQG WKDW QHZ FXVWRPHUV ZLOO OLNHO\ FRQYHUW WR UHpeat customers. It is not our intent to strain your existing resources this initiative is meant to grow your business at a pace pleasurable for customers and staff. $59 for dental cleaning, exam, and xrays. ($305 value) Shampoo, haircut, and blow dry for $55. ($133 value) $20 for $50 worth of food and beverages, excluding alcohol, at ABC Restaurant. Business Information: Business Name: Street Address, City, State, and Zip: Business Website: Business Phone: Business Email: Fine Print: Please include the fine print of your offer. Expires December 31, 2011. Limit 1 coupon per person, per visit. Limit 1 coupon per table. Dine in and carryout only. Coupon not valid with any other offers. Fine Print Examples: This application is subject to review and approval Highlight Examples: Outside patio dining with full view. We have the newest deluxe spa and pedicure chairs in town. Only red light therapy bed in town. Highlight: Please list what sets your business apart. See examples above. We offer the newest body sculpting and laser techniques available. We have been rated the top NLGV· VXPPHU camp, 3 years running. Fax: (770) 3050080 Email: [email protected] Qnanza Pre-Application Page 1 of 2 05.27.2011

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Page 1: Pre app qnanza

Name: Phone Number: Email Address:

Customer Contact Information:

Pre-­Application

Days:

Monday Tuesday Wednesday Thursday Friday

Times:

9 AM -­ 11 AM 11AM -­ 1 PM 1 PM -­ 3 PM 3 PM -­ 5 PM

Best Time To Be Reached: Please provide a specific time frame, such as Monday and Tuesday 1-­3 PM. Times are in EST. Example if you choose 9 AM -­ 11 AM and you are in PST, you will receive a call between 6 AM and 8 AM PST.

Offer: The face value of your coupon must be a minimum of $15 and be discounted by at least 50% off the retail value. Your offer must be in even dollar amounts only, for example your offer cannot be $30.95. Your offer must include retail value, discount value, and the goods/services being offered. Discounts cannot be applied to the sale of alcohol.

Retail Value:

Discount:

Offer Examples:

New Customer Expectations: Please provide a reasonable estimate of NEW customers your establishment can expect to service each peat customers.

It is not our intent to strain your existing resources;; this initiative is meant to grow your business at a pace pleasurable for customers and staff.

$59 for dental cleaning, exam, and x-­rays. ($305 value)

Shampoo, hair-­cut, and blow-­dry for $55. ($133 value)

$20 for $50 worth of food and beverages, excluding alcohol, at ABC Restaurant.

Business Information:

Business Name: Street Address, City, State, and Zip:

Business Website: Business Phone: Business Email:

Fine Print: Please include the fine print of your offer.

Expires December 31, 2011. Limit 1 coupon per person, per visit.

Limit 1 coupon per table. Dine-­in and carryout only.

Coupon not valid with any other offers. Fine Print Examples:

This application is subject to review and approval

Highlight Examples:

Outside patio dining with full view.

We have the newest deluxe spa and pedicure chairs in town.

Only red light therapy bed in town.

Highlight: Please list what sets your business apart. See examples above.

We offer the newest body sculpting and laser techniques available.

We have been rated the top

camp, 3 years running.

Fax: (770) 305-­0080 Email: [email protected]

Qnanza Pre-Application Page 1 of 2 05.27.2011

Page 2: Pre app qnanza

I understand for my application to be considered my offer must be a discount that is 50% or greater.

I acknowledge if my application is approved, I will receive 50% of the voucher purchase upon sale according to the terms of the contract.

Signature: Date:

Rep Information:

Name: Rep ID: Email: Phone:

I acknowledge if my application is approved, I am agreeing to a 3 month minimum contract with Qnanza. (One time events excluded.)

I understand if my application is approved, I must honor a minimum of $1,500 in coupons per month. Monthly maximum number of coupons times the coupon sales price must equal or exceed $1,500.

Fax: (770) 305-­0080 Email: [email protected]

I understand if my application is accepted, there will be a $100 set up fee that will be deducted from my first months coupon sales. Example, $1,500 worth of coupons are sold each month. The business owner will receive $650 the first month and $750 all months thereafter. Setup will be waived if my offer is discounted by 60% or more.

Qnanza Pre-Application Page 2 of 2 05.27.2011

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