RestaurantsPDX

RestaurantsPDX.com Registration Submission

Your Name *

First

Last

Business Name *

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Phone Number *

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Email *

Website

Upload a File

(Use this utility to upload a preferred .JPG or .PNG image that you want published to your coupon. A preselected default image will be used for your coupon in the absence of uploading a preferred image.)

Select Choice *

(Choose whether you want to have your coupon published to FREECOUPONS.COM. This service is FREE.)

UPC Coupon Code Options

Codeabar

Code 11

Code 39

Code 93

Code 128

EAN-8

EAN-13 / ISBN

Interleaved 2 of 5

Standard 2 of 5

MSI Plessey

UPC-A

UPC-E

UPC Extension 2 Digits

UPC Extension 5 Digits

PostNet

(Check one box ONLY above to indicate your choice of a UPC code string for inclusion into your published coupon. If no choice is selected, then your coupon will be published without UPC encoding. If a choice is selected, a random code string will subsequently be generated and delivered to you via email.)

Electronic Signature *

*

I AGREE TO TOS

Type your first and last name into the above "Electronic Signature" dialogue field exactly as it appears in the "Your Name" field shown near the top of this form.

In entering your full name into the dialogue area, including to check the " I AGREE TO TOS" button shown above and then clicking on the "Submit" button shown below, you acknowledge to have read and agree with the "Subscriber Terms of Service" conditions published to this website and incorporated by reference hereto.

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SUBSCRIPTION INSTRUCTIONS:

Subscription payments are accepted only via PAYPAL.com. We will never ask you for credit card or bank account information.

Following submission of the Registration form above, select the PAYPAL subscription payment option below. Enter your Business Name, including the Street Address, City & State in the blank dialogue boxes shown.

In accordance with certain federal, state and/or local laws, please note through the PAYPAL subscription interface that you are effectively provided with a 7-day right of rescission regarding this transaction: Your PAYPAL account will not be debited until seven (7) days after you have submitted consideration for a subscription.

Following the submission of your subscription plan, you will then automatically be redirected to the “CREATE COUPON” page of this website where you will need to create your initial public coupon offering.

IMPORTANT NOTE: Please be sure to record or otherwise copy your PAYPAL Transaction I.D. Number following the submission of your subscription order for inclusion into the "CREATE COUPON" page document described above. This number must match the I.D. Number issued to us through the PAYPAL system following submission of your subscription transaction.

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