Alton Daily Bargains Request

Big Z Representative *

Business Name *

Contact Full Name

Contact Email

Contact Phone

Business Physical Address

Business Website

Business Social Media

e.g. facebook.com/BusinessName

Business Description

Description of the business. Include details such as background, specials, hours, etc.

Business Logo

May also include product photos

Certificate Name

This reflects the trade item. e.g. '$25 Gift Certificate' or 'Oil Change & Tire Rotation'

Item Description

Include item-specific details that would not be included in the Advertiser Description. Only to be filled out if offering multiple services from the same advertiser.

How Will Certificates Be Distributed?

Paper Certificates ONLY (printed in-house)

Mobile Certificates ONLY

Paper Certificates + Mobile Certificates

Advertiser-Supplied Certificates ONLY (e.g. gift cards)

Any Additional Limitations to Certificate

Default Certificate Limitations: No cash back. No cash value. No credit given. Customers may buy and use as many as they would like.