Retail Lifeline Event Agreement – agent portal

Retail Lifeline Event Agreementprestonbuckner2020-01-24T14:45:10-06:00

Retail Lifeline Event Agreement

Retail Lifeline Event Agreement

Please answer a few questions to get started

Business Contact Info

Business Name *

Phone *

Manager/Owner *

Manager/Owner Email *

Confirm Manager/Owner Email *

Additional Info *

Business Address

Google Map

Address

Is there unit/suite number? *

Yes

No

Locator Button

Unit/Suite *

Additional locations

Do you have other locations to include? *

Yes

No

Address

Is there unit/suite number? *

Yes

No

Unit/Suite *

Add another address Remove an address

Site setup

What size table do you prefer we use for our set up? *

2 ft

4 ft

6 ft

Where is the best possible place in your store can we set up in? *

How soon would you like us to start? *