Enrollment Form

Your First & Last Name

*Company

* Phone #

* Street Address
* City
* Zip
* Hours of Operation

Example: M-F 9:00AM - 5:00PM -or- By Appointment Only
Please use the Comments Field for more details.

* Industry

Website (this is not published on the basic profile)

Email (this is not published on the profile)


* General Category
 Automotive B2B Products & Services Beauty & Fitness Entertainment & Fun Financial, Banking & Legal Services Food & Beverage Health Care Home Pets Retail Services Other

Please type a description of your business. This description and your website address is not published unless a profile upgrade was purchased. Your email is not published, but it is used to send you a confirmation. To purchase a profile upgrade, please click on the Upgrades link below after pressing the Send button.

Comments



  * I Have Read and Agree to Terms and Conditions for LocalShopRewards.com.

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* Required data input for a basic profile.

Basic profiles are free to locally-owned business in SW Portland, Beaverton, Hillsboro, Lake Oswego, Tigard, Tualatin, West Linn and Wilsonville. Basic profiles have Business Name, Address, Google Map, Phone and Hours of Operation.

You can upgrade the profile to add Descriptive Comments, Logos/Photos, Weblinks and a 240x400 Graphic File on the Right.

A single item profile upgrade is only $45 for your profile to have descriptive comments and a website address. Full profile upgrades are $150 and that includes all of the options mentioned. Future changes to the profile is $35 (30 days after your initial enrollment).

Please visit this link for a safe and secure PayPal transaction: Upgrades.

Local Shop Rewards must approval all contents added to the business profile, include graphics for your customer incentive. Upgrade today.... so you can find new customers tomorrow.