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Chamber Heroes Sign Up Form

Thank you so much for supporting Max's. We will reach out to confirm your Max's Days Promotion, and will share with you all the fun ways we plan to promote it!

Contact Information

Name

First Name

Last Name

Organization

Chosen Date(s)

Donated % OR Amount per sale or other!

Please let us know if you do not wish to have the percentage or amount promoted publicly.

Location You Would Like Promoted

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Restrictions, Limitations or Specific Language you would like us to use?

Verify Email

Phone

Please upload color logo JPG or PNG