Radio station's ecommerce website name (example- Maines Best Deals, Semo DollarSaver) * Today's Date (month/day/year) Account Executive Name * First Last A.E. Email Address * Account Executive Mobile Phone * Business Name (name will appear EXACTLY like this on website) * Business Phone Number (ten digits) Business Website Address Business Retail Address * City * State * Zip Code * Describe Business (not product being sold) * Describe In Exacting Detail What Is Being Sold * On Sale Date & Time For This Product: (example 12/8/22 @ 10:00am) * Date & Time to Stop Selling This Product: (leave blank if NO expiration date) Price Before Disount * Price After Discount * Quantity to Be Sold * Product Type (check one) * Printable (cerificates are made that customer redeems at business) Mail Out (purchaser is snail mailed their purchase such as movie tickets) Pick Up (purchaser picks up purchase at radio station) Maximum number of certificates a person can purchase (leave blank if NO maximum). Minimum number of certificates a person can purchase (leave blank if NO minimum). Maximum Number of Certificates That Can Be Redeemed Per Visit At the Retailer: (leave blank if NO maximum) Other Restrictions: (example: "not good for alcohol") leave blank if no restrictions Business Logo & Business Images Check here if you want us to grab the business's logo, and pictures. Logo of Business Select Image Product Picture 1 Select Image Product Picture 2 Select Image Product Picture 3 Select Image Product Picture 4 Select Image
