Camp Twin Lakes 15 th Annual Partners Card Program October 26 November 4, 2012 Shop, Eat, Save for a Cause!

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1 Camp Twin Lakes 15 th Annual Partners Card Program October 26 November 4, 2012 Shop, Eat, Save for a Cause! Here s how it works: Atlanta card buyers purchase the card for $60. Over 550 participating Partners Card stores and restaurants offer a generous 20% discount (excluding alcohol) to card holders for the ten-day period of October 26 November 4, Partners Card Sponsors underwrite all administrative and production costs of the promotion. 100% of the $60 card purchase goes directly to support Camp Twin Lakes camping programs for children with serious illness and life challenges. The Partners Card raised approximately $288,000 in 2011 to send children with serious illnesses and life challenges to Camp Twin Lakes. Camp Twin Lakes is a nonprofit organization that provides year-round recreational, therapeutic and educational programs for children and young adults facing serious illnesses, disabilities, and other life challenges. With its network of Camp Partners, Camp Twin Lakes provides life-changing experiences at its state-of-the-art, fully accessible camps in Rutledge, Georgia; Winder, Georgia; Warm Springs, Georgia; children s hospitals; and other locations throughout the state. JOIN OUR TEAM FOR THE 15 TH YEAR OF PARTNERS CARD! Fill out the attached form and send it to us! Also, check out our website partnerscard.com Questions? Please contact Camp Twin Lakes 600 Means Street, Suite 110 Atlanta, GA Phone: ext 228 Fax:

2 October 26 - November 4, 2012 CONTRACT DEADLINE JULY 2, 2012 Applications received after July 2 nd are not guaranteed for inclusion in the 2012 Partners Card Program and Brochure. Additions after July 2 will be included on website and Partners Card iphone App. 1. Contact Information Name of Store/Restaurant: Address 1: Address 2: City: State: Zip: Shopping Center: Online Merchant: please check if you are an Online Only Merchant Telephone: Fax: Website: Local Contact and Title: 1: 2: 3: Corporate Contact and Title: Corporate Address: City: State: Zip: 2

3 OPTION A: YES, WE WANT TO SELL PARTNERS CARDS AT OUR STORE/RESTAURANT! Each store must sell a minimum of TWO cards Stores must display Partners Card promotional materials (posters, brochures, window cling). Your name will be highlighted in official Partners Card promotional materials as a Partners Card selling location. *NOTE: Card selling stores will be responsible for selling at least two (2) cards. If a store does not sell two cards, they will be billed $120 as a participation fee. OPTION B: NO, WE DO NOT WISH TO SELL PARTNERS CARDS. WE UNDERSTAND THAT AS A NON PARTNERS CARD SELLING STORE, WE ARE REQUIRED TO PAY A $120 PARTICIPATION FEE. Two Partners Cards are included in this fee and will be mailed to the retailer. Must be received by August 1 to guarantee your participation in the fundraiser and listing in Partners Card Directory NOTE: For participating companies with more than one location or restaurant, a donation is required for EACH participating location. What $120 does at Camp? Sponsor one camper for a day of camp: $100 One activity period of a cabin: $ 20 = $120 Payment Options: Make checks payable to: Camp Twin Lakes Mail to: Camp Twin Lakes Attn: Lauren King 600 Means Street, Suite 110 Atlanta, Georgia Make credit card payment online at partnerscard.com. Please send me an invoice 3

4 2. Store/Restaurant Description: In 15 words or less, please provide a description exactly as you wish it to appear in the directory. Descriptions over 15 words will be edited at the sole discretion of Camp Twin Lakes. Please note that sale merchandise is already excluded. Please list all exclusions specific to your store. OR: Use same description as last year ( to get a copy of last year s description) Would you like to offer any special offers to card holders (i.e. free gift card/lip balm/dessert when they spend a certain amount with their Partners Card)? Specify: 3. Please indicate which days the store/restaurant is closed: Sunday Monday Tuesday Wednesday Thursday Friday Saturday 4

5 4. Select Store/Restaurant Listings Please select the ONE store location that best describes your store/restaurant: Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9 Area 10 Area 11 Area 12 Area 13 Area 14 Area 15 Area 16 Area 17 Area 18 Area 19 Area 20 Area 21 Area 22 Area 23 Area 24 Area 25 Area 26 Area 27 Area 28 Area 29 Area 30 Area 31 Area 32 Lenox Square Phipps Plaza Perimeter Mall Buckhead: East Buckhead: West Buckhead: Roswell Road Brookhaven Peachtree Battle Area Midtown & Downtown Atlantic Station Howell Mill & Westside Virginia-Highland & Morningside Decatur & Northeast Atlanta Sandy Springs Dunwoody Vinings Smyrna & Marietta Historic Marietta Square East Cobb West Cobb Roswell Town Center Area Mall of Georgia Area Alpharetta & Duluth North Point Area Norcross Lawrenceville & Snellville South of Atlanta East of Atlanta West of Atlanta Cumming & North Georgia Online Merchant Please select ONE category that best describes your store/restaurant: Antiques Apparel & Accessories- Children Apparel & Accessories- Men Apparel & Accessories- Women Apparel & Accessories- Men & Women Art & Framing Books & Music Electronics Gifts, Collectibles & Stationery Garden & Floral Health & Beauty Home Furnishings & Accessories Hotel Jewelry Kitchen & Specialty Foods Luggage Office & Art Supplies Online Merchant Photography Restaurant Services & Activities Shoes Specialty Shops Sporting Goods & Apparel Toys & Games Wine & Cocktail 5

6 Logo and Promotional Materials Request Form Send me the 2012 Partners Card Logo for marketing use in printed pieces such as direct mail, customer promotions and retail print ads. (Note: You must complete the information below to receive a Partners Card logo. Camp Twin Lakes must have a valid address in order to send the electric file of the logo.) I agree to provide Camp Twin Lakes with a valid address in order to receive the logo. Specify ALL Intended usage of the Partners Card logo: Direct Mail (customer post card/ flyer) Event Invitation Web Internet/ marketing In-Store brochure/flyer/signage Retail print ads Other By initialing here, I agree to submit ANY AND ALL printed Partners Card related promotional materials and/or advertisements to Camp Twin Lakes for approval prior to publication or production. Submit proofs to Lauren King at Please allow one week (5 business days) for approval. Initials: Each store will receive two posters, two window clings, and brochures for marketing Request for ADDITIONAL marketing items: Storefront posters (in addition to the 2) Window Clings (in addition to the 2) Quantity requested: Quantity requested: 6

7 5. Participating Store/Restaurant Agreement: 2012 Partners Card Fundraiser 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. We acknowledge Camp Twin Lakes retains all proceeds from the sale of the card. Each Partners Card has a cash value of $60. We agree to be responsible for the total value of the Partners 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. We understand that we are responsible to Camp Twin Lakes for the cash value of lost or stolen cards. 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, accurately filled out the document, agree to be bound by its terms and to inform store/restaurant personnel of the conditions outlined. If you agree to the above, complete all of the fields below. If you do not agree, write "I do not agree". Store Name: Store Location: Store Representative Signature: Store Representative Printed Name: Date: 7

8 Partners Card Etiquette We agree to offer a 20% store/restaurant-wide discount off regular retail prices from October 26 November 4, 2012 to all holders of the Partners Card, which will be sold to the general public. We agree to advise all store/restaurant personnel of this arrangement, to encourage attendance at Partners Card training sessions, and to promote the purchase of the card. The Partners Card is non-transferrable. We agree to check for an appropriate form of I.D. and to allow only the card holder to make purchases. All cards must be signed to discourage card selling/sharing. We are not required to honor the Partners Card 20% discount on already reduced sale merchandise. 20% discount excludes alcohol purchases at all restaurants. Discount applies only to participating stores listed in this booklet. Retailers will check purchase forms to ensure they are filled out completely and legibly with purchaser s personal and credit card information. If cards are sold without all required fields completed legibly, retailers will be responsible for the cost of the sold Partners Card. I have read and agree that we will adhere to the Partners Card rules and regulations listed above. If you agree to the above, complete all of the fields below. If you do not agree, type "I do not agree". Store Representative Signature: Date: Completed applications can be mailed to: Lauren King, Camp Twin Lakes, 600 Means Street, Suite 110, Atlanta GA 30318, ed to or faxed to

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