Shop | Save | Share Merchant Registration 2019
We're excited you want to join us this year! Please provide and submit the below information to confirm your participation. We may have pre-filled some of the information. Please review and correct any information prior to your submission.
Retailer Name
*
On-Site Contact Name
*
First Name
Last Name
On-Site Contact Email
*
example@example.com
Retailer Contact Phone
*
-
Area Code
Phone Number
Corporate Contact (if applicable)
First Name
Last Name
Corporate Email (if applicable)
example@example.com
Corporate Phone (if applicable)
-
Area Code
Phone Number
Select one:
*
My store is online-only
My store has physical locations and a website
I do not have a website
Website
Please enter an online discount code (if applicable)
Facebook
Instagram Account
Twitter Account
Please upload a logo, if available
Add Logo
.png is preferred. This logo may be used on marketing and listing information.
Cancel
of
Store Locations
*
Select the Area(s) that best describes your store(s)
280 - Greystone/Colonnade/280 area
BV - Brookwood Village
CH - Cahaba Heights
CAV - Cahaba Village
CPK - Crestline Park
CRV - Crestline Village
DT - Downtown/Avondale/Southside
EC - Eastwood/Crestwood/Roebuck
EV - English Village
GAL - Riverchase Galleria
HV - Hoover
HW - Homewood
LB - Lee Branch
LP - Liberty Park
MBV - Mountain Brook Village
MLC - Mt. Laurel/Chelsea
OGR - The Outlets at Grand River
ONL - Online
PC - Patton Creek
PH - Pelham/Helena/Alabaster/Calera/Columbiana
SUM - The Summit
TR - Trussville/Leeds
VH - Vestavia Hills
OTH - Other
Category
*
Antiques
Art, Framing, and Photography
Bridal and Formal Occassion
Children's Clothing & Shoes, Baby & Maternity Items
Department Store
Doctors & Health Services
Electronics Services
Entertainment
Fitness
Garden & Floral
Gifts & Collectibles
Home Furnishings & Accessories
Home Improvement
Jewelry
Men's Clothing & Accessories
Men's & Women's Clothing & Accessories
Pet Supplies & Services
Restaurant
Salons, Spas, & Beauty
Shoes for Children, Men, & Women
Specialty Food, Wine
Sport & Outdoor Goods, Apparel, & Accessories
Stationery, Paper, & Party Supplies
Toys, Books, & Games
Women's Clothing & Accessories
Other Services
Please select the best option possible
Store Description
This will be displayed in the mobile app and book
0/400
Will you have any exclusions or limitations? We kindly ask that you try to limit your exclusions in efforts to make the Shop Save and Share card hold its value throughout the sale
*
Yes
No
Exclusions and/or Limitations
*
Subject to review by the Junior League of Birmingham. Excessive exclusions may result in the rejection of your agreement.
I am interested in learning more about Shop Save and Share marketing options.
*
Yes
No
I am interested in hosting an event during Shop Save and Share.
*
Yes
No
Please sign your name to verify that you have read the Terms & Conditions above are the proper contact to register for this program:
*
A copy of this contract will be emailed to you for your records.
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