Merchant/Corporate Request Form (MAIN LINKS)

I am interested in...

Getting Discounts For My EmployeesAdvertising with The Employee Network

Want to Become a Merchant for The Employee Network?

The Employee Network is the Nation's Premier Employee Discount Program. Currently serving some of the largest government agencies, corporations and hospitals in Arizona, Nevada and the Nation. Celebrating 18 years, The Employee Network is the #1 most trusted source to Honeywell, Lockheed Martin, Dignity Health Care, The City of Henderson, Arizona Highway Patrol, Mayo Clinic, CVS Caremark, The Hard Rock Hotel and many more. Our reputation for professionalism is the key to our many years of success.

How did you hear about us?

Company Name*

(ex. Joe's Diner)

Main Contact*

First NameLast Name

Position*

(ex. Marketing Manager)

E-mail*

Phone Number*

Area CodePhone Number

Secondary Contact

First NameLast Name

Phone Number

Area CodePhone Number

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

# of employees*

Are you interested in attending Road Show Events?

ABSOLUTELY!No thank you.I would like more information.

Please have someone contact me to answer some questions.

DEFINITELY!!!

What type of discount will you be offering?

Do you have any comments or questions?