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          GOLD NUGGET NETWORK
                 (no wasted coupons)

      50 Brant Ave. Brantford, N3T 3G7

              Tel/fax: 519-753-5122


Brantford List of Stores:
Updated 2018 2-page 200+ Brantford Directory

STORE SIGN-UP FORM

We're a large online network of discount shoppers....
If we send our users into your store....
Can you give them a discount?

*BUSINESS NAME_______________________________________________________

*CATEGORY: SUB_______________________________________________________

In CAPITAL letters with Sub-directory if necessary, you may create or join several categories for different Savings;

*SAVING TYPE   Dollars $       Percentage %        *FREE

SAVING RATE:_____________ Enter the Dollar or Percent value OFF.

CONDITION:___________________________________________________________

Gold Nuggets are never on already-discounted items unless specified so this field qualifies the saving with a "*": EG: "*10%" with condition "*weekdays" means "10% OFF only weekdays"; EG: "*$10" with condition "*>$100" means "$10 OFF on orders greater than $100"; EG: "*FREE" with condition *Soft drink with pizza slice" means what it says. 

SAVING TYPE   Dollars $       Percentage %        *FREE

SAVING RATE:_____________ Enter the Dollar or Percent value OFF.

CONDITION:___________________________________________________________

 

SAVING TYPE   Dollars $       Percentage %        *FREE

SAVING RATE:_____________ Enter the Dollar or Percent value OFF.

CONDITION:___________________________________________________________

 

BASIC BUSINESS INFO NEEDED (* Necessary)

* OWNER/MGR. FIRSTNAME: _____________________________________________

* OWNER/MGR. SURNAME:________________________________________________

* Email:_____________________________________________________________ 

* NO.:________________  [  ] Do not publish address

* STREET:____________________________________________________________

UNIT #:________  

MALL: _______________________________________________________________ 

* TOWN: _____________________________________________________________

* POSTCODE: _________________________________________________________ 

* PROV-STATE: ON

* NATION: CA

* TELEPHONE:__________________________________

WEBSITE:_____________________________________________________________

 

REFERER:________________________________Date(Y/M/D)__________________  


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