INDUSTRY DEAL
"Seller Specifications Form"

CONGRATS!

You have been accepted to have your product/service or event showcased in an upcoming Industry Deal.

The next step is to get the details about your offer. Please fill-out and submit the form below as this will streamline the process and will get your Deal Mock-Up Page put together faster: 

OWNER INFO
* E-Mail Address:
* First Name:
* Last Name:
COMPANY INFO
* Company Name:
* Website URL:
Facebook URL:
Twitter Username:
ABOUT YOUR DEAL
* What is the Retail Value of Your Product/Service?
* What Is Your Deal Price?
* Would You Like to Limit the Number of Sales ff Your Product/Service or Event? Yes
No
If 'Yes' Then What Is The Max Number Of Your Product/Service You Would Like To Sell?:
* Briefly Tell Us About the Product/Service or Event You wish to Sell? (a couple of descriptive paragraphs, bullet points are great - sell it!!)
Is There a Specific Web Page That Talks Just About This Product/Service or Event? If So, Put the Web Page Address Here:
Do You Have Any Specific Instructions on How You want Your Buyers to Redeem Their Deal Voucher? (for example to call you, e-mail you, show-up with their printed Deal Voucher, etc.)
Any Specific Terms & Restrictions To Your Deal?:
* When Should Your Buyer Redeem Their Deal Voucher By (a.k.a. - "Promotional Value Expires" date):
* Is There a Physical Address That Should Be Published On Your Deal Page? If So, What Is It?
* Is There a Phone Number That Should Be Published On Your Deal Page? If So, What Is It?
PAYEE INFO
* Who Should Your Check Be Made Payable To:
*Address (1):
Address (2):
*City:
* State:
* Zip:
* Phone Number:
* Would You Be Interested in Receiving Payment by Direct Deposit Rather Than a Check? Yes
No
QUESTIONS?
Do You Have Any Questions For Us?