Electronic Coupon ADD/Modify Form
Join the AreaGuides.com FREE on-line couponing program today!


Please complete the form below and we'll add a coupon to your client record. The coupon should be operational within 24 hours of submission of this form. We'll send you an e-mail so you can view your coupon.

Note: You'll need to send the form separately for each of up to three coupons. Each sponsor may offer up to three coupons under this free couponing program.

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Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Coupon Title: (limit 20 characters)


(example: From 10%-30% OFF)

Expiration Date:


(example: 4/1/03)

Note: Descriptions 1, 2 & 3 appear as bullets on the final coupon (see example below). 

Description 1: (limit 50 characters - shorter is better)


(example: 10% OFF all lawn & garden items)

Description 2: (limit 50 characters- shorter is better)


(example: 30% OFF all clearance items)

Description 3: (limit 50 characters- shorter is better)


(example: shop today for best selection)

Exclusions: (limit 50 characters- shorter is better)


(example: In stock items only)
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Note:
Please click on Submit Form once - it may take a minute to process.


The sample at right is 2/3 the actual size.

Click Here to view  live sample coupons
we've put up to demo the system

Back to Tool Box or Coupon Program Info

You can also use the Mail-In / FAX Form.

Back To Coupon Form

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VA: [AlexandriaCity.com] [ArlingtonCounty.com] [FairfaxCountyVA.com] [FredericksburgCity.com]
[LoudounCounty.com] [PrinceWilliamCounty.comDC: [WashingtonDCGuide.com]