Company Registration & Participation Agreement

Company Registration & Participation Agreement
Company Legal Name*
Company DBA
Company Authorized Person*

First NameLast Name
Company Authorized Person Title*
Mobile Phone*
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Company (Land) Phone
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Email Address*
example@example.com
Company Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Website
What DISCOUNT or PROMOTION is Company Offering as part of the Signature VIP Club? (PLEASE BE AS SPECIFIC AS POSSIBLE INCLUDING TERMS AND RESTRICTIONS, IF ANY)*
Explanation of WHAT Company does
Please Upload a high-resolution JPG or PNG of Company LOGO*

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Company is participating in The Signature Real Estate Companies' Signature VIP Club ("Club") beginning on the date Company signs below("Enrollment Date") through December 31, 2024 ("Term Expiration") unless otherwise extended in writing and executed by both Company andClub. There is no enrollment fee for Company to join Club. Company will fulfill and honor Promotion for any and all Club Card Holders("Members") through Term Expiration. Company shall honor offers made to Members, and Members shall have the unlimited right to redeemPromotion(s) at any time and as frequently as such Member may wish through Term Expiration. Company authorizes Club and The SignatureReal Estate Companies and Signature Gives Back, Inc. 501(c)(3) (collectively "Marketers") to market and advertise Club, Company, andCompany's Promotion in any reasonable manner that Marketers deem appropriate. Company, Company Logo, and Promotion will be listed atwww.SignatureVIPClub.com. Company represents that the Company Authorized Person above who is signing below on behalf of Company hasthe full right and authority to sign, bind Company and agree to the terms herein.
Signature*

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FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES REGISTRATION NUMBER: CH50720. A COPY OF THE OFFICIAL
REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE FLORIDA DIVISION OF CONSUMER SERVICES BY CALLING
TOLL-FREE (800-435-7352) WITHIN THE STATE OR WWW.FLORIDACONSUMERHELP.COM. REGISTRATION DOES NOT IMPLY
ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.
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