Merchant Application | The Employee Network

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Welcome to The Employee Network Merchant Application

Thank you for taking the time to complete this application. This information will be used to determine your eligibility to become a merchant partner of The Employee Network.

Merchant Partner Qualifications
Since The Employee Network is the offically sanctioned employee discount program for 50 of the largest corporations in Arizona, we must maintain the highest of standards. Our more than 350,000 members trust our merchant partners and we work diligently to maintain that trust.
Our Merchant partners must:

Maintain all trade and occupational licenses as required within areas of work performed
Licensed, Bonded, and Insured where appropriate
Offer a unique discount to all Employee Network members who request their "Employee Network Discount" and provide proof of membership
Commitment to 100% satisfaction
All merchant partners must be in good standing

Please complete the information below
* indicates a required field


Company Name *		Contact Name *
Company Telephone *		Mobile Telephone
Company Fax		E-mail Address *
Website Address

Business Address *		City *
State *		Zip *

Principal Name		Principle Telephone
Type of Ownership

IMPORTANT Please answer ALL of the following

	What are your hours of operation? (i.e. M-F, 8-5)
	Do you have a staffed office or one person dedicated to answering the phones during business hours?
	Will there be one individual handling all Employee Network members; if so who? If not will all of your employees know and understand the discount program?
	How many years has your company been in business under current name?

What is the PRIMARY service of the company?

What other products or services does the company provide?

List the cities in which you provide service:

How did you hear about The Employee Network? *

Comments or Questions

I understand that the application may be denied by The Employee Network now or in the future if The Employee Network determines that applicant does not meet eligibility requirements. I agree to allow The Employee Network to check the accuracy of the information I have provided above. I acknowledge that neither the application nor the acceptance of the application creates a contract of any kind between myself and The Employee Network. I certify that the above information I provided is true and accurate to the best of my knowledge.

The Employee Network is committed to protecting your privacy, your information will not be sold or traded.

Signature (my name is my signature) *

Title *

Thank you for your interest in participating with The Employee Network.