City of Temple Terrace Customer Service

2. Business Participation Information
   Please use this form to submit or update your discount offerings.
4. Business Legal Name*
5. Fictitious or DBA Name
   If different from Business Legal Name.
7. Address (Street Number)*
   Street number of your brick & mortar location.
8. Address (Street Name)*
   Street name of your brick & mortar location.
9. Street Designator*
   Road, Avenue, Street, etc...
10. Unit, Suite, Apt. No.
12. City*
13. State*
14. Zip*
16. Business Contact Person - First Name*
17. Business Contact Person - Last Name*
19. Contact - Telephone (1)*
20. Contact - Telephone (2)
22. Contact - Email Address*
26. Discounts Offered under the program.
    Please choose one or more of the following discount options and enter the details you would like to offer.
28. Percentage Discount
    Set a percentage discount for the entire purchase, excluding alcoholic beverages. Example: 10% OFF entire purchase.
29. Fixed Discount
    Set a fixed discount amount with certain conditions, excluding alcoholic beverages. Example: 5% OFF purchase of $50 or more.
31. In-Kind or Promotional Offering
    Provide a free in-kind offering with eligible purchase. Example: FREE DESSERT with purchase of two adult entrees.
32. Term Special
    Offer a set discount on a particular item or category for a set period. Rotate the offering each period (ex: each month). Example: 50% OFF appetizers in July.
34. Thank You!
    Your support and participation is greatly appreciated. Someone will be in touch soon.
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field