M.O.M.S.
Moms On a Mission Single, Inc.,
A Non Profit Organization
VIP MERCHANT AGREEMENT
First and foremost, thank you for your generosity and support. Single moms represent a large percentage of consumers in this country. The United States alone is home too more than 31 Million children and their custodial single parents. Our members appreciate the support and recognition that you are showing them, by way of offering them a discount at your establishment.
In order to insure that the VIP Card is not abused, we require M.O.M.S. members to show the M.O.M.S. VIP CARD and a Picture ID when seeking a discount at your establishment. If you find a VIP Card is being misused, we ask that your retain the card and notify M.O.M.S. as soon as possible. If you or your employees find it uncomfortable to confront someone who is misusing a card, we ask that the name and membership number are noted and E-mailed to CardAbuse@singlemoms.org or M.O.M.S. headquarters be contacted as soon as possible. The VIP CARD is a privilege for our members and misuse of the privilege will result in loss of membership and all benefits associated with the M.O.M.S. organization.
Please complete the following information so that members in your area can be notified of your businesses discounted offer as soon as possible. M.O.M.S. members, who reside within 50 miles of your location(s), will be notified via E-mail of the discount you extend. You may purchase a listing in M.O.M.S. VIP Merchant Directory Listing on our M.O.M.S. Members Discounts page. Rates are as follows: $200 per year, $125 for 6 mo's, or $75 for 3 mo's (Name, Address, Telephone and Discount will be listed). For an additional $20 we will also include an image of your company logo along with your listing.
Multiple sponsorship programs are available. Sponsorship and advertising rates may be accessed at WWW.SINGLEMOMS.ORG
***VIP Merchants are entitled to a 5% discount off Sponsorship and Display Advertising Contract Rates.
(Please Print)
COMPANY NAME:____________________________________________________________
MAILING ADDRESS:_____________________________________________________________
CITY: _________________________ STATE: _____ COUNTY: __________ZIP: ___________
E-MAIL (Please Print Clearly)_______________________________________________________
URL OF COMPANY WEB SITE (if web site is available we will link to it in our directory):
__________________________________________________________________________
INCLUDE A COMPANY LOGO WITH THE DIRECTORY LISTING (for additional $20) __yes __no
(If yes, please attach something with your logo that can be scanned)
OFFICE TELEPHONE (____)__ __ __ - __ __ __ __Ext.____ FAX (____)__ __ __-__ __ __ __
%____Discount to M.O.M.S. Members Customer - %_____From Sales Donated Back To M.O.M.S.
Please use the space below to describe the discount you are offering M.O.M.S. Members:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
__________________________________________________________________
Your establishment will also honor the VIP Card on sale items/specials: __ YES __ NO
I, ______________________ _____________________, of ___________________________
(Print Name) (Title) (Establishment Name)
do hereby authorize the above referenced discount to M.O.M.S. VIP CARD holders. I agree to verify identification of M.O.M.S. Members who present the card at my establishment/place of business. It is understood and agreed to, that only the M.O.M.S. member name shown on the card is entitled to my discounted offer and that I reserved the right to revoke or report the misuse or abuse of a membership card.
Company Name_______________________ Authorized Signature:_____________________
Date: ___________________19____ Title: __________----_______________________________
MERCHANT OFFER ACCEPTED BY:_____________________ DATE:_____/_____/_____
(Authorized M.O.M.S. Representative)
Approval Code________________________(For Officer Use Only)
Application must be submitted and approved. Please mail to address shown below
475 College Blvd., Ste. 6-176, Oceanside, CA 92057 / Tele. (760) 726-7978 Fax (760) 726-7712