Merchant Sign-Up

Please use our form to sign up as a New Merchant.  Upon submitting this information and your signed agreement, someone from Communities for Cause will contact you, verify the information and get your business listed !

If you would like to learn more about how this works, please Read our Merchant Guide

Your Name (required)

Your Email (required)

Company Name

Company Address
Street:
City :
State :
Zip :

Describe your company to us (Description)

Category

Company Phone Number

Company Email

Primary Contact at your Company

Your Website (if you have one)

Notes for us

Your Offer (The amount you will pass back to the causes)

List any Exclusions with this Offer

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Once you have submitted the form (Click Here to Download), please download and sign this merchant form and fax it to 928.223.4007