Complete this Form (Step 1 of 2)

This form should only take about 5 minutes to complete.
Refer to the HELP options on the right side of the screen, as they will assist you with each entry.

Contact Information
Request Type:
Company Name:
Address:
Address:
City:
Province:
Postal Code:
Phone: *mandatory
Fax:
Website:
Contact Name: *mandatory
Contact Email: *mandatory -
a confirmation email will be sent to this address
Listing Type
Select the listing type you would like: 1 Coupon
2 Coupons
3 Coupons
4 Coupons
Coupon Design - Front
Coupon 1
Promotion Text:
Promotion Sub-Text: *optional
Text Area 1:
Address to appear on front? Yes
No
Website to appear on front? Yes
No
In which section would you like this coupon to appear? Appliance Sales and Service
Cleaning and Property Maintenance
Doors, Windows, Mirrors and Lights
Furniture and Housewares
Garden, Landscaping and Outdoors
Kitchen and Bathroom
Materials
Miscellaneous
Services
Coupon 2 (if necessary)
Promotion Text:
Promotion Sub-Text: *not required
Text Area 1:
Address to appear on front? Yes
No
Website to appear on front? Yes
No
In which section would you like this coupon to appear? Appliance Sales and Service
Cleaning and Property Maintenance
Doors, Windows, Mirrors and Lights
Furniture and Housewares
Garden, Landscaping and Outdoors
Kitchen and Bathroom
Materials
Miscellaneous
Services
Coupon 3 (if necessary)
Promotion Text:
Promotion Sub-Text: *not required
Text Area 1:
Address to appear on front? Yes
No
Website to appear on front? Yes
No
In which section would you like this coupon to appear? Appliance Sales and Service
Cleaning and Property Maintenance
Doors, Windows, Mirrors and Lights
Furniture and Housewares
Garden, Landscaping and Outdoors
Kitchen and Bathroom
Materials
Miscellaneous
Services
Coupon 4 (if necessary)
Promotion Text:
Promotion Sub-Text: *not required
Text Area 1:
Address to appear on front? Yes
No
Website to appear on front? Yes
No
In which section would you like this coupon to appear? Appliance Sales and Service
Cleaning and Property Maintenance
Doors, Windows, Mirrors and Lights
Furniture and Housewares
Garden, Landscaping and Outdoors
Kitchen and Bathroom
Materials
Miscellaneous
Services
Coupon Design - Back
Participating Locations - 1
Address:
City:
Phone:
Participating Locations - 2
Address:
City:
Phone:
Participating Locations - 3
Address:
City:
Phone:
Participating Locations - 4
Address:
City:
Phone:
Participating Locations - 5
Address:
City:
Phone:
Participating Locations - 6
Address:
City:
Phone:
Participating Locations - 7
Address:
City:
Phone:
Participating Locations - 8
Address:
City:
Phone:
Participating Locations - 9
Address:
City:
Phone:
Participating Locations - 10
Address:
City:
Phone:
If you require more than 10 locations, please let us know in the comments box at the bottom of this form
Terms and Conditions
Terms and Conditions: Our standard Terms and Conditions will appear on the back of every coupon, and will read as follows:
Offers are not valid with other discount offers, unless specified. Coupons void if purchased, sold or bartered. Only original coupons are valid, as copying, reprinting, or other duplication of this coupon is strictly prohibited. Discounts exlude tax and tip where applicable. Only one coupon may be used per person, per visit, unless otherwise specified.
You may add additional terms in the space below.
Custom Terms and Conditions:
If you have any additional comments or requests, please let us know here. We will design your coupon based on the information provided and will review it with you within 5 business days. You will have the opportunity at that time to make changes and finalize your coupon.
Comments:
Please review your form before clicking 'Submit'. Clicking Submit will complete this form and take you to the final step, which is uploading your logo.