Premiere Partners Program Application Form

Premiere Partners Program Application Form

Mint Smartwash will review your company/organizations application to see if you qualify for enrollment in the program.

Company/Organization Name*

Company/Organization Size (Number of Members)*

Company/Organization Website*

Applicant Name (First Name, Last Name)*

Applicant Phone Number*

Phone

Applicant Email Address*

Mint Locations Applicable to your Company/Organization*

Lethbridge, AB

Medicine Hat, AB

Edmonton, AB (Meadows Location)

Edmonton, AB (Argyll Location)

Red Deer, AB

Calgary, AB

Regina, SK

Billings, MT

How would you like to communicate the offer to you*

Brochure Handout

Website-Member Benefits Page Graphic

Lunchroom Poster

Email containing redemption link

Other

Send me a copy of my responses

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