PGEWEST - New Applications (Simplified)

Your Name*

Enter your Brand

Here is what you will get with Pepsi!

$5 off every 12 pack of pepsi

Here is what you will get with Cintas!

$5 off every Cintas product!

Name of Establishment*

Address*

Street Address

Street Address Line 2

CityProvince

Zip Code

Phone Number*

Area CodePhone Number

Email*

Website*

Business Ownership Category. Please check one

CorporationPartnershipSole OwnerOther

Applicant's Name

Please specify the type of establishment*

Other Restaurants Owned*

SUPPLIERS & DISTRIBUTORS

Other Distributors used

Food Products + Brands mostly used

Beverage Products + Brands mostly used

Other Services used

Additional Notes, Comments

We offer exclusive member benefits for insurance, credit card processing, financial services, and energy.

Signature: Print Name

Initials

Terms of Use Waiver of Liability

By submitting the form, you hereby acknowledge you are now a member of PGE WEST and are entitled to membership discounts and cash rebates on any of the PGE WEST sponsored programs. You agree that any occured fees will be deducted from rebates earned and will be disclosed on your report. Your report will itemize on detail any fees occured and deducted. You may cancel anytime by notifying us via email or phone call. There is no cancellation fee. You acknowledge that your first rebate check will arrive once the initial processing and enrollment is complete. It is your responsibility to monitor and update your distributors' account numbers with us so that we can process your rebates. If you omit to update your distributors' account numbers, we will not be able to process your account or retrieve any potential rebates based on your purchasing activity from our programs.

If you need more information please email us with your request or call our offices at (206) 502-2302.

To access this section of pgewest.com (the "website"), you understand and agree to the following:

PGEWEST.com, and all information, designs, logos, promotions, titles, and other related material, are provided on an ‘as-is’ basis. The website does not provide any kind of direct or implied warranties, unless otherwise specified. Pan Gregorian Enterprises and Pgewest.com as well as all subsidiaries or affiliates make no warranties on any of the following areas:

Service requirements

Service interruption

Service errors

Accuracy and/or reliability of results

Accuracy and/or reliability of content

Accuracy, reliability, quality of any information, products, services, and/or specifications, satisfaction criteria, and design, pertaining to the overall operations of the website.

You may use your own discretion and be aware of risk factors related to any damages of any communications systems, or electronic devices, including, but not limited to computers, palm pilots (PDA’s), mobile phones, resulting from any download or information obtained through the use of the web site.

No warranty or endorsement is implied, and no responsibility is assumed for any products or services, publications, advertising material, links, or promotions appearing on pgewest.com, unless otherwise specified or mentioned directly by pgewest.com’s online publications, information bulletins, logos, slogans, or other direct solicited or unsolicited marketing services.

Pan Gregorian Enterprises and PGEWEST.com as well as subsidiaries or affiliate entities shall in no event be liable for any damages, of any nature, resulting-without limitations- from the use, and/or handling of information pertaining to business, personal, linked, referenced, or consequential results of using the web site.

PGEWEST.com is not responsible for content, efficiency, and accuracy as well as data, and information exchanged on, or retrieved from the website, related to classified advertisements, announcement boards, e-commerce, maps, and map services, online data from other databases, subscribers, members or clients, consumers, or businesses. Pgewest.com and Pan Gregorian Enterprises will be indemnified and not held liable for any material or content which appears on the website unintentionally infringing on any registered or non-registered copy-rights.