GO EAST! Business discount sign-up

	A description of your business, along with your contact information, will accompany your offer. Pictures will be included to the best of our ability, so please provide a photo that you feel captures the essence of your business. Your participation will make the next GO EAST! an even greater success than last year! Kindly fill out the following form, making sure to complete the required fields.

	Business information

	Business name*
	Contact person*
	Street address*
	Suite, room or floor
	City, state and zip
	Phone
	Fax
	Mobile phone
	Email
	Business website (if any)
	Business hours


	Description of your business: (150 words or less, subject to editing)*
	Word count:

	Do you have a photo to upload? Yes No Have photo, but unable to upload or rather bring to BID. Send this file: Prefer JPEG or TIF file. File size must be less than 1 Mb. Space for photos is limited, so smaller pictures are fine.

	Please describe your discount offer:*
	Please select from the following options. Keep in mind that you must offer a compelling savings to potential customers.

	20% off final price of goods or services (standard discount)
	% off of (describe goods or service)

Compimentary with purchase of

Buy (number) of (product or service) get free


	Restrictions associated with your offer:

Legal agreement*


	Be advised that GO EAST! is updated annually. Clicking the button at left serves as an agreement to honor your agreed-upon discount / offer with card-bearing customers for ONE YEAR with stamp validation, beginning Wednesday, Nov 19, 2008. As a member of GO EAST!, you may also be asked to affix a GO EAST! sticker in your window and display the brochure or other promotional material on site.


	* required field

©2006 Lower East Side District Management Association, Inc. All rights reserved.