Premier Card 2025 New Merchant Participation Agreement

Event Dates: October 24 – November 2

1. PUBLISHED STORE INFORMATION: Please complete the following information as you would like it to appear in the printed 2025 Premier Card Merchant Directory.

Store Name*

Phone*

Address*

City/State*

Zip*

15 word store/merchandise description, noting exclusions, if any:*

2. NON-PUBLISHED STORE INFORMATION: The information below (sections 2 & 3) WILL NOT appear in the Premier Card Merchant Directory, but we do need contact information for our records and communications.

Primary Contact Name*

Email*

example@example.com

3. CORPORATE INFORMATION: (IF different from above)

Corporate Contact Name

Email

example@example.com

Address

City/State

Zip

Phone

The following conditions apply:

Merchant agrees to advise all store personnel of its participation in the Premier Card fundraising program, which runs October 24-November 2, 2025, and to promote the purchase and use of the Premier Card to its customers.
Merchant acknowledges that Payne Education Center retains all donation proceeds from the sale of the Card, and that they are responsible for providing Card sale revenue to Payne Education Center.
Merchant agrees to control their stock of Premier Cards, and the funds received from Card sales, until collected by a Payne representative.
Merchant is not to collect credit card information in writing. All credit card payments will be processed via a Square Card Reader device to Payne’s account, called into Payne Education Center, or through merchant’s own processing system to be paid to Payne after Premier Card timeframe is complete.
Payne Education Center assumes no liability in connection with the Premier Card or otherwise.
Merchant is responsible for verifying the delivery of Premier Cards and reconciliation of cards sold.
Merchant agrees to receive a minimum of 10 Cards to sell during Premier Card timeframe. Unsold Cards will be returned to Payne. I have read the terms, agree with them, and confirm our participation in the Premier Card fundraising program to benefit Payne Education Center. We agree to offer an up to a 20% storewide discount off regular retail prices to all holders of Premier Card from October 24-November 2, 2025. Retailers are not required to honor the up to 20% discount on special orders, layaways, gift certificates, sale merchandise, delivery fees, complimentary gift wrap services, or with any other in-store discount, promotion or coupon. The Premier Card is non-transferable. Only the Card buyer, spouse, and minor children may use the same Card.

4. CONDITIONS AND CONSENT SIGNATURE:

Signature*

Date*

Date

Please choose one option below for how you would like to handle credit card sales of Premier Cards*

I will process credit card payments to Payne’s Square account and WILL need a Payne-provided Square reader device.I will process credit card payments to Payne’s Square account and WILL NOT need a Payne-provided Square reader device.I will NOT be processing credit card payments to Payne’s Square account and will instead use our own credit card processing system.I will call in credit card charges to Payne Education Center.

Thank you for your participation!

Please submit no later than August 21, 2025. Contact Debbie Bricker at Debbie@PayneEducationCenter.org with any questions.