SupportLocalSmall.com Business Signup Form

How did you hear about the SupportLocalSmall.com initiative? If it was a person, tell us their name so we can personally thank them! *

What community would you like to represent? If your community is not available, please send us a message via our Contact Us form on our website. We'll need at least 20 businesses to create this initiative in a new community. *

Legal Name of your business *

DBA Name of your business *

Your First Name *

Your Last Name *

Your position with the business *

Your direct email address (not a generic email to your business please) *

Enter your direct email address again, for confirmation *

Please provide a brief description of what type of business you have (restaurant, retail, boutique, salon, etc) *

Your Business's Generic Email Address (for the business itself, not necessarily you) *

Your Business Address (physical street address) *

Your Business City *

Business State *

Your Business Zip *

Business Phone Number *

Your Business Facebook handle *

Your Business Instagram handle *

Your Business website address *

Send my business's check for donations related to shirts purchased at SupportLocalSmall.com to our business physical address *

Yes

No, I'll provide a separate mailing address

Mailing address for your business's check

Mailing Address City (for check)

Mailing State

Your Business Zip

You hereby agree and state that you are an authorized signer of the business listed in this form, and understand that your business (or you as an individual, if your business is a Sole Prop and using your SS# as your business Tax ID) will receive a 1099 from HēLē Marketing LLC for any revenue provided to your business related to our website, SupportLocalSmall.com.

HēLē Marketing LLC agrees to provide $10 (ten dollars) per shirt purchased from our website, for each shirt that is designated as being listed and identified with your business name. Should HēLē Marketing LLC ever discount the price of the shirts from the current price of $25 ($27 for XXL shirts) or offer bundled pricing (such as buy 3 shirts for $45 or something similar), your business will receive 40% (forty percent) of the net amount received for the shirt by HēLē Marketing LLC. HēLē Marketing LLC also agrees to provide 100% (one hundred percent) of the net revenue derived from the "Virtual Tip Jar" on our website, for funds designated specifically and solely for your listed business. Should funds be provided via our "Virtual Tip Jar" during a purchase of products designated for multiple businesses, your business will share equally in the revenue provided in that "Virtual Tip Jar" transaction. This could occur if a customer buys 3 shirts designated for 3 separate businesses and leaves one $10 donation in our "Virtual Tip Jar". In this example, the net proceeds of that "Virtual Tip Jar" transaction would be split evenly between the 3 businesses.

HēLē Marketing LLC will provide disbursements of revenue to respective businesses twice each month. Disbursements will be paid to participating businesses upon the earnings exceeding $20 (twenty dollars). Should earnings not exceed $20 in any calendar year, the amount due to the respective business will be paid in January of the following calendar year.

You agree to prominently post on your business's social media channels, the direct link to your respective product page on the SupportLocalSmall.com website, to assist in marketing the initiative.

You understand and agree that HēLē Marketing LLC reserves the right to determine qualification for businesses participating in the Support Local Small program, in its sole discretion, and such may be revoked for at any time, for any reason or no reason at all.

Do you agree with the terms of this business arrangement? *

Yes, I agree with the terms as stated above.

No, I have some questions and not ready to commit just yet

You have marked "no" to the terms of this arrangement in the previous question. Should you have any questions, please reach out to us and we'll be happy to quickly address any concerns. You may reach us via the Click to go to our "Contact Us" Form webform or by sending an email to Support@HeLeMarketing.com. We look foward to speaking with you.

Your Business's Fed ID (EIN). If your business is a Sole Prop and you do not have an EIN, please enter your SS# *

Please provide your business formation type *

We plan to provide your business's graphic or logo as part of your product listing on our website, SupportLocalSmall.com. Please be sure to upload your graphic or logo using the File Upload feature below. Please upload your graphic or logo via the following file types: JPG, PNG, or other similar graphic file (Please no psd files or vector files). You may upload up to 3 graphics or files.

Upload up to 3 graphics or files (20 MB max file size, per file)

OPTIONAL: Please provide any notes or comment you'd like to send to us

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Once this form is properly signed and submitted, you will receive a copy of this submission via email, to your "Direct Email Address" as indicated in this form.

Please enter your signature here *

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