Venue Listings - Full Program(s) Participation Sign Up

Name of Venue (Restaurant, Retail Outlet or Attraction) *

Venue Phone Number *

Venue Website Address

Venue Facebook Page

Full Name of Person Completing This Form *

Valid Email For Venue *

Confirm Email Above *

Number of Locations (Addresses will be confirmed prior to publishing) *

Enter the number of locations that you wish to have participate in the programs selected below

Takeout Status *

Takeout Orders Available

Takeout Not Available

Takeout Options (Select all that apply) *

Available Direct From Website

Available through third party (Grub Hub, Uber Eats, Etc.)

Available by Phone

Direct Venue Web Link for Online Takeout Ordering (Promo Code Will Need to Be Implemented Prior to Publishing) *

Third Party Web Link for Online Takeout Ordering (Promo Code Will Need to Be Implemented Prior to Publishing) *

Delivery Status *

Delivery Orders Available

Delivery Not Available

Delivery Options (Select all that apply) *

Available Direct From Website

Available through third party (Grub Hub, Uber Eats, Etc.)

Available by Phone

Direct Venue Web Link for Online Delivery Ordering (Promo Code Will Need to Be Implemented Prior to Publishing) *

Third Party Web Link for Online Delivery Ordering (Promo Code Will Need to Be Implemented Prior to Publishing) *

Kids Eat Free Card, VIP Shop & Dine 4Less Card and/or Play 4Less Card Status (Check all that apply) *

We already have Offers for Kids Eat Free Card, VIP Shop & Dine 4Less Card and/or Play 4Less Card Holders and Need to Update our Offer

We Would like to promote a discount offer to Card Holders in the following program(s)

We would Like to Modify an Existing Card Offer for the Following:

We would like to modify our existing Kids Eat Free Card offer

We would like to modify our existing VIP Shop & Dine 4Less Card offer

We would like to modify our existing Play 4Less Card offer

Other

Provide Full Kids Eat Free Card Offer Details and Modifications (*No Blackout periods permitted) *

Provide Full VIP Shop & Dine 4Less Card Offer Details and Modifications (*No Blackout periods permitted) *

Provide Full Play 4Less Card Offer Details and Modifications (*No Blackout periods permitted) *

Other Modifications (*No Blackout periods permitted) *

We would like to Provide an Offer for Kids Eat Free Card, VIP Shop & Dine 4Less Card and/or Play 4Less Card Member Card Holders (Check all that apply) *

We would like to publish a Kids Eat Free Card offer

We would like to publish a VIP Shop & Dine 4Less Card offer

We would like to publish a Play 4Less Card offer

Provide Full Kids Eat Free Card Offer Details that you wish to offer to Card Holders (*No Blackout periods permitted) *

Provide Full VIP Shop & Dine 4Less Card Offer Details that you wish to offer to Card Holders (*No Blackout periods permitted) *

Provide Full Play 4Less Card Offer Details that you wish to offer to Card Holders (*No Blackout periods permitted) *

Payment Options (Prior to Building and Publishing Your Profiles, We will send you an encrypted invoice to pay by your selected payment option.) *

Major Credit Card (VISA, MC, AMEX or Discover)

Electronic Bank Transfer (ACH)

Invoice to Pay by Check

Payment Terms - (First Payment Due Prior to Publishing) *

1 Payment In Full (5% discount on total amount due)

3 Equal Monthly Payments (2.5% discount on total amount due)

6 Equal Monthly Payments

Authorization & Acceptance *

I Certify This Information is Accurate and hereby agree to allow my venue to be promoted online as outlined here in.

By Authorizing and Accepting this agreement on Saturday, January 22, 2022 - 12:25, I (with IP Address: 162.158.106.245) hereby agree to allow Taktik Enterprises, Inc and its subsidiaries to publish my business, logos and other digital assets for the express purpose of including and promoting my venue to its users as outlined on this form submission. I further understand that there is a one-time set up fee for each new program that I opt to participate in that includes a published offer for program card holders and agree to pay the one-time set up fee prior to being published and once published and I understand that Taktik Enterprises, Inc. reserves the right to remove your listing should they receive 3 or more complaints in any one-year period from any of its Card Holders for non-compliance in honoring your published offer and your venue shall not be eligible for any refund of set-up fees paid. You agree at all times to honor your published offer to valid card holders of the respective program(s) that you have opted to participate in. REGULAR FEE SCHEDULE FOR ONE-TIME SETUP OF INITIAL PARTIPCATION SETUP FOR: -One Program First Location - $699 -Two Programs First Location - $999 -Three Programs First Location - $1199 -Each Additional Locations (regardless of number of programs participating in)- $249. Additional Discounts, promotions and/or terms that may be applicable and approved by an authorized representative shall be applied upon confirmation of details from your representative and noted accordingly on final invoice to follow. There are NO FEES associated with your participation in our program(s) and your participation in the selected programs shall include ongoing Update Requests to your published Kids Eat Free Card, VIP Shop & Dine 4Less Card and/or Play 4Less Card listings for as long as your account is in good standing and for as long as you opt to continue participation in the program(s) for the venues identified under this agreement. Additional venue location listings or participation in additional programs beyond this agreement, may be subject to subsequent set-up fees.

Digital Signature (Type Full Name) *

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