Island Stone Rockin' Rewards Program

Island Stone Rockin' Rewards Program
View Rockin' Rewards Program Details
Rockin' Rewards Program
Showroom *
Authorized Customer Name*

First NameLast Name
Email*
example@example.com
PO Required prior to shipping displays*

YesNo
I represent:*
Ship to Address for New Product Displays*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Island Stone Sales Representative*
Number of Individual Locations
Island Stone Email Address
example@example.com
List each Ship To Address for New Product Displays
I agree to the terms and conditions of Island Stone "Rockin' Rewards Program" and am authorized to sign up for this agreement on behalf of the showroom location(s) identified in this form. I understand that by signing this form, my company agrees to pay for all new product launch displays that are auto shipped in conjunction with a new Island Stone product launch. Cancellation of this agreement must be made in writing to Island Stone.
I have read the terms and conditions of Island Stone "Rockin' Rewards Program" and am authorized to sign up for this agreement on behalf of the showroom location(s) identified in this form. I understand that by signing this form I have opted out of receivieng the benefits extended to participants.

I understand that my new purchase price discount off of suggested retail will now be 40% off instead of 50%.
My preferred display method is:*
Signature*

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