Madison Area Gift Card Program Signup Form


While this form CAN be completed via a tablet or phone, it's highly recommended that it's filled out via a computer browser. It's significantly faster and easier to complete via computer. 
ATTN: Business Owners in the Madison County area,
We are making it simple and easy to join the program. The costs are minimal, as the only costs are 5% at redemption. This means you pay nothing for the program unless someone brings a card in and uses it to pay for something at your business (redeeming their card). Distribution, handling costs, etc are already taken care of. All you have to do is signup to accept the cards, take advantage of the marketing and exposure of the program, and receive the benefits of the program. 
Your business will receive 95% of the redemption of any applicable gift card segment (if you're also a member of the Rankin County Chamber of Commerce, you'll actually receive 96% of the redemption for the Rankin Chamber segment... redemption costs for that segment is just 4%).  
Click Here for the Frequently Asked Questions (FAQ's) for the program. 
Please fill out this form in its entirety. It should take no more than 5 to 10 minutes to fill out, as it contains the information that we'll need to populate our app. Once the app is completed, we'll send a digital version of our app via DocuSign, which you'll be able to sign via your computer or directy on your smartphone.
* Your business Fed ID
* Business checking account info (routing and account numbers)
* A scan or picture of a business check (so we can verify where to deposit your funds)
Not ready to signup and have questions about the program, or want someone to call you? Please CLICK HERE to fill out our Gift Card Contact Form. Someone will be back with you quickly. 

Business Information

Business Type: *

Business Details

Business Formation Type: *
Is your business currently open and operating? *
0/250 characters
What are your plans for reopening the business?
You indicated earlier that your business is a restaurant and that it's open for business. Please check all that apply.
What 3rd Party Delivery Services does your Restaurant normally use (check all that apply)?
The following Routing and Account Number fields are referring to your business checking account, where we should deposit the funds for gift cards that you redeem at your business. 

What is your business currently using for your own private gift card or gift certificate program (valid at your own locations - check all that apply): *
Do you have more than one location for your business and want to accept the gift card program at the other location(s)? *
If you have additional business locations, please be sure to fill out this form again, for each location where you'd like to be able to accept the gift card program. Sorry, but we have no other way to board additional locations without receiving the information for the other location(s) as well.