Winter Rewards Program Receipt Submission

Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Please indicate preferred method to receive rewards.*

File Upload*

Please enter the total dollar amount that your receipts reflect.*

Please select your preferred business from the list below for your gift card.*

Kindly note that selecting a business does not guarantee the reward. This selection indicates your preference, and once the Palisade Chamber of Commerce confirms if your submission is eligible, you will receive an email with further details

How did you hear about this promotion? (Select all that apply)*

Rules:

There are a limited number of rewards. Submitting receipts for a reward does not guarantee a reward will be given. Rewards are provided on a first-come, first-served basis.
One entry per household. A household is considered anyone living in the same residence. Each entry must have full name, email, phone, and mailing address.
Eligible purchases begin on February 1st, 2025. Receipts dated before February 1st, 2025 are not eligible.
Receipts must be submitted through the online form. Receipts cannot be mailed or accepted any other way. If you have trouble with the form, please contact one of our team members for assistance. Katie Godfrey admin@palisadecoc.com
To reach the spending levels, receipts can come from multiple stores. Each receipt must be $25 or more.
Receipt types. Take a photo of your actual hard copy, itemized receipt. Each receipt submitted must be an itemized receipt and include the business name, address, date of purchase, and sale amount. We will only accept a digital receipt or other type of receipt if all the information noted above is included.
The following are NOT accepted receipts: credit card-only receipts, handwritten receipts, and invoices.
BEFORE YOU SUMIT YOUR RECEIPT - Circle the date of purchase and total sale amount and write your initials next to the total. Initials should match your first and last name in your submission. Receipts without initials WILL BE DECLINED! 
Take pictures of each receipt separately. Only one receipt per photo. Do not combine receipts into one photo and do not split one receipt into multiple photos.
Make sure the receipt includes the business name, address, date of purchase, and sale amount.
When submitting receipts through the online form, do NOT include any tip amount and enter the exact value of the receipt including the cents.
Eligible receipts include purchases from businesses located in Downtown Palisade, in these sectors - food and beverage, retail stores, personal services, accommodations, attractions, and other select businesses. Click here for a list of all eligible businesses for purchases.
Ineligible receipts include purchases from: grocery stores, gas stations, propane sales, convenience stores, drug stores, marijuana, services such as childcare, afterschool childcare programs, health care, donations to a non-profit organization, travel services, real estate transactions, and professional services (CPA, attorney, architect, dentist, insurance, health care), or from any business not listed on the eligible list for this promotion. PCOC has the right to decline any receipt that does not meet the requirements.
A receipt can only be submitted once by one shopper. Violating this rule will automatically make both shoppers ineligible for rewards.
Gift cards will be mailed or emailed based upon preference to the address provided in the online form in early March 2025. Please note that an email address or mailing address cannot be changed after your form has been submitted. Make sure your email address is correct on the form, and PLEASE BE SURE TO ENTER A VALID EMAIL ADDRESS THAT YOU CHECK REGULARLY!
Must be 18 or over to participate.
PCOC has the right to decline any entry that does not comply with the guidelines. PCOC will contact any shopper by email with the reason their submission was declined. PLEASE BE SURE TO ENTER A VALID EMAIL ADDRESS THAT YOU CHECK REGULARLY!
When all rewards are claimed, PCOC will email all participants to confirm that their submission was accepted and provide a date for when the rewards will be emailed. They will be mailed or e-mailed in early March 2025. PLEASE BE SURE TO ENTER A VALID EMAIL ADDRESS THAT YOU CHECK REGULARLY!
When you submit receipts, you agree to have your email added to PCOC's email list. You will receive occasional email announcements about promotions, and PCOC events (3 to 4 emails per year).

After you click submit, you will see a confirmation screen confirming your entry. If PCOC has questions about your submission, we may need to contact you. PLEASE BE SURE TO ENTER A VALID EMAIL ADDRESS THAT YOU CHECK REGULARLY!

Once you have submitted your receipts, we are not able to add any additional receipts to your submission after it has been completed.

Please verify that you are human*

Please sign to acknowledge the rules and regulations above.*