EmailMe Form - Small Business Saturday Submission Form

Company Name *

Email *

Name *

First Last

Phone *

### - ### - ####

Social Media Handle

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

If no Brick and Mortar, put N/A

Promotion Title: *

e.x..: 10% Off, Buy One Get One

Promotion Description: *

e.x. Spend $10 and get free gift; 10% for enrolment on Small Business Saturday

Promotion Terms & Conditions: *

e.x.."One Coupon per Customer per Visit"

Flyer Upload

If available, please upload a flyer with any additional details