Coupon Materials Submission Form Contact InformationFor communication useName* First Last Contact Phone*Contact Email* Coupon InformationThis information will be shown on your coupon.Company Name* Company Description (50-70 words)*Coupon Offer*Offer Description*Offer Fine Print (20-40 words)Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Coupon Image* Drop files here or Select files Max. file size: 256 MB. Logo* Drop files here or Select files Max. file size: 256 MB. Please provide a high resolution logo in AI or EPS format. If you do not have access to one of these formats, please provide the largest JPG or PNG available.Phone*Website* Must include http:// or https://. Copy from browser URL bar if necessary.Offer Code (optional) Expiration Date* MM slash DD slash YYYY Usage Rights + Permission* By checking this box, you acknowledge that your organization has the rights to share these assets, and authorize Greenspring Media and its affiliates to use these materials at no additional fee. Your organization assumes all responsibility for any claims to the contrary.CAPTCHA Coupon Examples
