BluePass Registration
We're excited you want to join us this year! Please fill out the form below.
Retailer Name
*
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone
*
-
Area Code
Phone Number
Select one:
*
My store is online-only
My store has physical locations and a website
I do not have a website
Website
Please enter an online discount code (if applicable)
Facebook
Please upload a logo, if available
Add Logo
.png is preferred. This logo will be shown on the Planet Fundraiser app.
Cancel
of
Please upload high-resolution pictures of your location and/or merchandise for possible promotions
Add Pictures
Pictures may also be emailed to bluepass@juniorleaguemobile.org
Cancel
of
Store Locations
*
Category
*
Antiques
Art, Framing, and Photography
Bridal and Formal Occassion
Children's Clothing & Shoes, Baby & Maternity Items
Department Store
Doctors & Health Services
Electronics Services
Entertainment
Fitness
Garden & Floral
Gifts & Collectibles
Home Furnishings & Accessories
Home Improvement
Jewelry
Men's Clothing & Accessories
Men's & Women's Clothing & Accessories
Pet Supplies & Services
Restaurant
Salons, Spas, & Beauty
Shoes for Children, Men, & Women
Specialty Food, Wine
Sport & Outdoor Goods, Apparel, & Accessories
Stationery, Paper, & Party Supplies
Toys, Books, & Games
Women's Clothing & Accessories
Other Services
Please select the best option possible
Store Description
This will be displayed in the mobile app and book
0/400
Will you have any exclusions or limitations?
*
Yes
No
Exclusions and/or Limitations
*
Would you like information on becoming a 2018 BluePass Sponsor?
*
Yes
No
Would you like to be promoted on the Planet Fundraiser app for free?
*
Yes
No
Please sign your name to verify that you are the proper contact to register for this program:
*
A copy of this contract will be emailed to you for your records.
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Submit
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