Peninsula Coupon Club Membership Form

Peninsula Coupon Club Membership Form

Add you Kenai Peninsula brick & mortar business to our database for FREE!
Step 1: Business Info

This information (except logo/region) will not be displayed to users on the app: It is only for business verification purposes.
Business Name *
Business Contact Phone Number *
We will use this number to verify ownership of business
Business Email *
example@example.com
Business Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Region *
If you selected "Other" please describe your businesses region on the peninsula
Upload Your Company Logo

Cancel of
Step 2: Owner Info

This information will not be displayed to users on the app: It is only for business verification purposes.
Owners Name *

First Name Last Name
Contact Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Step 3: Coupon Information
We offer the community a free "Scratch to Win" style system that awards 1 coupon per month to our users from every participating small business on the app. (every user receives 1 coupon from every business every month)

The coupon they win from each participating business will be one of 3 different coupons available. These three coupons will be broken into three tiers (Bronze, Silver, Gold,) and will have different odds assigned to them.

Bronze- 89% chance of winning

Silver- 10% chance of winning

Gold- 1% chance of winning

EACH COUPON FEATURES A VERIFICATION SYSTEM THAT ENSURES EACH COUPON IS ONLY USED FOR ONE TRANSACTION
What coupon would you like to offer for each tier ?

Terms and conditions can be set at bottom of form
Bronze Tier (89 out of every 100) *
Examples: "5% off" "Buy One Get One Half Off" "Free Fountain Soda"
Silver Tier (10 out of every 100) *
Examples: "10% off" "Buy One Get One Free" "Free appetizer with purchase of 2 dinners"
Gold Tier (1 out of every 100) *
Examples: "30% off" "First Month Free" "Free Entrée"
Terms and conditions for these coupons *
If terms are different for each tier specify that here
Should be Empty:

Peninsula Coupon Club Membership Form

Step 1: Business Info

Step 2: Owner Info

Step 3: Coupon Information

What coupon would you like to offer for each tier ?