A PROGRAM FOR OFFERING DISCOUNTS TO CCRA MEMBERS
Request for Participation Form
| Name of Business: | ____________________________________________ |
| Location(s) or Business(es): | ____________________________________________ |
| ____________________________________________ | |
| Type of Business: | ____________________________________________ |
| Telephone Number: | ____________________________________________ |
| Contact Information: |
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| Name: | ____________________________________________ |
| Phone Number(s): | ____________________________________________ |
| Fax Number: | ____________________________________________ |
| E-mail Address: | ____________________________________________ |
| Address (if different from above): | ____________________________________________ |
| ____________________________________________ | |
| ____________________________________________ | |
Promotion Offered to CCRA Members: |
The above organization offers Center City Residents' Association members a fifteen percent discount on Tuesdays * |
| *Note: If the nature of your business or service would not be conducive to a promotion limited to Tuesdays, describe an alternative promotion: | |
Description of Business: |
|
| Submitted by: ____________________________________________ |
Date: ____________________________________________ |
| Center City Residents' Association will include the organization's name on a list of participants to be advertised through website, newsletter, and e-mails. | |
| Approved by (CCRA): ____________________________________________ |
Date: ____________________________________________ |
Print Out Form, Fill in Requested Information, and Return to: Center City Residents' Association 1616 Walnut Street, Suite 705 Philadelphia, PA 19103 Or Fax to: 215-501-5800 You may also Download this form in Word Format, Complete it, then Email the Completed Form |
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