New Retailers

1. Contact Information

Name of Store/Restaurant*

How did you hear about us?*

Address*

Address 2

City*

State*

Zipcode*

Telephone*

Email Address*

Website*

Online Merchant*

Yes
No

Online Merchant Code

Please provide a "code" that can be used by shoppers during the 10 days that will offer your discount.

Local Contact Name and Title (Ex: Mary Smith, General Manager)*

Local Email Address*

Corporate Contact and Title

Corporate Email Address

Corporate Address

Corporate City

Corporate State

Corporate Zipcode

Logo

Upload an image of your store/restaurant or your logo here

Accepted file types: jpg, png, gif, Max. file size: 20 MB.

2. Select Participant Listings

Location*

Please select the location that best describes your store/restaurant:

Category*

Please select the category that best describes your store/restaurant.

Retailer Subcategory*

Please select one subcategory

Eatery Subcategory

Please select one subcategory

Additional Eatery Subcategories

Service Subcategory

Please select one subcategory.

Additional Service Subcategories

3. Description & Exclusions

Directory Description and Exclusions*

Please provide a brief description exactly as you wish it to appear in the directory. Descriptions over 15 words will be edited at the discretion of Camp Twin Lakes. Please list all exclusions specific to your store/restaurant.

4. Partners Card Options

OPTION A: WE WILL SELL PHYSICAL PARTNERS CARDS AT OUR STORE!

Stores must display Partners Card promotional materials (posters, brochures, window cling).
Your name will be highlighted in official Partners Card promotional materials as a physical Partners Card selling location.

OPTION B: WE WILL ONLY SELL MOBILE PARTNERS CARDS.

Stores must display Partners Card promotional materials (posters, brochures, window cling).
Your name will NOT be highlighted in official Partners Card promotional materials as a physical Partners Card selling location.

OPTION C: WE ARE A RESTAURANT OR ONLINE ONLY MERCHANT AND ARE NOT REQUIRED TO SELL CARDS.

Restaurants must display Partners Card promotional materials (posters, brochures, window cling).
Card Selling*
- OPTION A: WE WILL SELL PHYSICAL PARTNERS CARDS AT OUR STORE!
- OPTION B: WE WILL ONLY SELL MOBILE PARTNERS CARDS.
- OPTION C: WE ARE A RESTAURANT OR ONLINE ONLY MERCHANT AND ARE NOT REQUIRED TO SELL CARDS
5. Participant Agreement & Etiquette
WE UNDERSTAND THAT CAMP TWIN LAKES ASSUMES NO LIABILITY IN CONNECTION WITH THE PARTNERS CARD, MERCHANDISE SOLD BY OUR STORE(S)/RESTAURANT(S) OR OTHERWISE.*
- Yes
WE ACKNOWLEDGE THAT CAMP TWIN LAKES RETAINS ALL PROCEEDS FROM THE SALE OF THE CARD.*
- Yes
EACH PHYSICAL PARTNERS CARD HAS A CASH VALUE OF $75. WE AGREE TO BE RESPONSIBLE FOR THE TOTAL VALUE OF THE CARDS IN OUR POSSESSION AND THE FUNDS RECEIVED FROM CARD SALES. WE WILL HOLD IN TRUST SAID CARDS AND FUNDS UNTIL REMITTED TO CAMP TWIN LAKES. WE WILL RETURN ALL FUNDS AND UNSOLD CARDS TO CAMP TWIN LAKES.*
- Yes
WE UNDERSTAND THAT WE ARE RESPONSIBLE TO CAMP TWIN LAKES FOR THE CASH VALUE OF LOST OR STOLEN CARDS.*
- Yes
WE AGREE TO OFFER A 20% DISCOUNT ON REGULAR RETAIL PRICES FROM OCTOBER 24 - NOVEMBER 2, 2025 TO ALL HOLDERS OF THE PARTNERS CARD, AND TO NOT LIMIT THE AMOUNT OF TRANSACTIONS MADE DURING THIS 10-DAY PERIOD.*
- Yes
WE AGREE TO ADVISE ALL PERSONNEL OF THIS ARRANGEMENT AND TO PROMOTE CARD PURCHASES.*
- Yes
THE PARTNERS CARD IS NON-TRANSFERABLE. WE AGREE TO CHECK FOR AN APPROPRIATE FORM OF ID AND TO ALLOW ONLY THE CARD HOLDER TO MAKE PURCHASES. ALL CARDS MUST BE SIGNED TO DISCOURAGE CARD SHARING.*
- Yes
WE AGREE TO CHECK ALL PARTNERS CARD ORDER FORMS TO ENSURE THEY ARE FILLED OUT COMPLETELY AND LEGIBLY WITH THE PURCHASER'S PERSONAL AND CREDIT CARD INFORMATION.*
- Yes
THIS AGREEMENT CONFIRMS OUR PARTICIPATION IN THE PARTNERS CARD FUNDRAISING PROGRAM TO BENEFIT CAMP TWIN LAKES, A GEORGIA NON-PROFIT ORGANIZATION. BY COMPLETING BELOW, I VERIFY THAT I HAVE READ THE TERMS OF THE 2025 PARTICIPANT AGREEMENT, ACCURATELY FILLED OUT THE DOCUMENT, AND AGREE TO BE BOUND BY ITS TERMS.*
- Yes
Store/Restaurant Name*
Representative Digital Signature*
Date*
Month
Day
Year

1. Contact Information

2. Select Participant Listings

3. Description & Exclusions

4. Partners Card Options

5. Participant Agreement & Etiquette

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Retailers

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