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How many locations are you signing up? (Maximum 5 for Online Sign-Up)
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1
2
3
4
5
Start Date
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Restaurant Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
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Hawaii
Idaho
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Iowa
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Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Restaurant Name (2)
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Restaurant Name (3)
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Street Address
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Address Line 2
City
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State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Restaurant Name (4)
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Restaurant Name (5)
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Features:
○ Donations Paid by GiftAMeal
+1 Meal per Photo
+1 Meal per Social Media Share
+50 Bonus Meals
per Month
○ On-Premise and Off-Premise Photos
○ Dashboard Reporting
○ Royalty-Free License to Use Customer Photos
Subscription Type
*
Month-to-Month (No Commitment)
Annual (2 Months Free!)
Monthly Plan:
*
GiftAMeal Provides Materials - $79/month
Restaurant Prints Materials- $69/month
Annual Plan:
*
GiftAMeal Provides Materials - $790/year (Save $158!)
Restaurant Prints Materials - $690/year (Save $138!)
Subscription Type
*
Month-to-Month (10% discount)
Annual (25% discount)
Monthly Plan:
*
GiftAMeal Provides Materials - $71/month per location
Restaurant Prints Materials - $62/month per location
Annual Plan:
*
GiftAMeal Provides Materials - $711/year per location (Save $237!)
Restaurant Prints Materials - $621/year per location (Save $207!)
First Name
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Last Name
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Title
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Individual's Phone Number
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Email Address
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Payment Options
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Bank Account (ACH Collection)
Credit Card
Credit Card
Cardholder Name (as it appears on the credit card)
*
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
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Expiration Date (mm/yy)
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CVV Code
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Billing Address:
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Authorize Credit Card Payments
*
Restaurant elects to make payments via pre-authorized credit card charges.
ACH Collection
Business Name (as it appears on the account)
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Account Type
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Checking
Saving
Personal or Business
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Personal
Business
Bank Name
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Bank Transit Routing Number - ACH (9 digits)
*
Bank Account Number
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Authorize ACH Collection
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Restaurant elects to make payments via pre-authorized automatic clearinghouse (“ACH”) debits.
GiftAMeal’s Terms and Services Agreement
Terms
*
Restaurant agrees to GiftAMeal’s Terms and Services Agreement, which are attached hereto and incorporated herein by this reference.
Signature
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Email: info@giftameal.com | Phone: 314.656.6244