x- Donation Consent

1
Establishment Information* This field is required.
Establishment Name
Establishment Address
2
Sign up for the 2021 PubPass Book* This field is required.Establishment agrees to provide one complimentary beer to any customer presenting a PubPass with Establishment’s page unstamped/unmarked/untorn until December 31, 2021.
YESNO
3
Sign up for the PubPass Mobile App* This field is required.Establishment agrees to provide one $1.00 beer to any customer presenting the PubPass mobile app with Establishment’s screen unredeemed. A PubPass user can redeem Establishment's promotion only after 30 days from prior redemption. Establishment agrees that participation will continue until Establishment notifies PubPass.
YESNO
4
By signing below, I acknowledge that I am authorized to represent "the establishment" and that we "the establishment" wish to participate in the PubPass promotion(s) on the following terms.* This field is required.Establishment agrees to have its name and logo listed in PubPass marketing materials. Establishment agrees to provide beer/cider from a reasonable list of craft options. Establishment agrees to be responsible for all costs, including taxes, for the beer provided. Establishment is responsible for following regulations surrounding discounts on alcohol.
ClearYour Signature
5
Your Information* This field is required.
Your name
Your email
Your phone
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