2. 
6. PROMOTION
   Membership Discount Page

   As a partner, you receive free advertising through the Association in exchange for a discount of your choosing for our residents. You are on a list with other partners featured on our website, included in printed lobby literature, the bi-monthly Lake Ridge Today magazine, mailings to new homeowners throughout the year and an annual mailing to all homeowners every May. So much free advertising!
10. Business Name*
11. Business Address*
13. Contact Name*
14. Phone*
15. Email*
17. Discount Offered*
    Please be specific any conditions of your discount.
18. Business Logo
    Please upload a clear JPEG or PNG image of your logo that the Association may use for advertising.
20. Length of Agreement*
    -- Select One --6 Months1 YearNo ExpirationDiscontinue

    If "No Expiration" is selected, the Association will send an email every 6 months as a reminder of the standing agreement.
21. Reason for Discontinuation
    If "Discontinue" is selected, let us know why so that we may improve the program. Please be sure to honor the previous contract by offering your discount through the specified end date.
25. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
27. Electronic Signature*
28. Date*
    Date
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field