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Business/Retail Partnership Form

Name of Business:  
Address:  
City:  
State:  
 
Zip:    
Contact Name:  
Contact Phone Number:    
Contact Email:  

Brief Description of Discount:
(This will be how it appears on the Spirit of Women Perks Listing in membership kits and on the Spirit website)

 

Who should members contact at your business if they have any questions?

Name:  
Phone Number: