CampusQpons.com

Merchant Registration Form

Please fill out the following information in its entirety and we will contact you with 48 hours to setup your account.

Plan Type *
Business Name *
Business Address *
Street Address

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *
Business Phone Number * (###) - ### - ####
Hours of Operation
Sunday Open At

Sunday Close At

Monday Open At

Monday Close At

Tuesday Open At

Tuesday Close At

Wednesday Open At

Wednesday Close At

Thursday Open At

Thursday Close At

Friday Open At

Friday Close At

Saturday Close At

Saturday Close At
Web Address
Public E-mail Address *
Merchant Description/Details *

This is where you can let people know what your business is all about and what they can expect while visiting your store.
What Category Best Fits Your Business (Restaurant, Clothing, etc.) *
Do You Deliver? Yes No
What Kind of Parking is Available?
Wi-Fi Avialable?
Are You Currently Hiring Students or Faculty? Yes No
Do You Offer Meeting Space for Large Groups? Yes No
Which Payment Methods do You Accept? Visa Amex Check Discover Mastercard University Accounts Cash
Logo ( 100 pixels x 100 pixels )
Menu, Flyer, or Ratesheet