Join
Sign-Up Form
Benefits
Partners
Business Donations
Resources
Projects
Maps
Grants
Qualification
Application
About
Staff & Board
Mission
Meeting Minutes
Financials
Contact Us
Donate
Join
Sign-Up Form
Benefits
Partners
Business Donations
Resources
Projects
Maps
Grants
Qualification
Application
About
Staff & Board
Mission
Meeting Minutes
Financials
Contact Us
Donate
Sign-Up Form
Business Name
*
Owner's Name
*
First
Last
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Physical Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Upload Logo
Accepted file types: png, jpg, Max. file size: 4 MB.
Please upload your company's logo in .png or .jpg format
Set Up
Payment Schedule
*
Montly
Quarterly
Seasonally
Other
Please explain:
I currently use:
*
Cash Register
Computer
Other
Please explain:
Accounting Program
Accountant's Name
Accountant's Contact Info
I am collecting on:
*
All products and services
Products only
Services only
Other
Please explain:
My collections are:
*
1% of all sales
Predetermined amount
Personal donation
Amount
Terms
*
I agree to remit funds no later than 30 days after the month or quarter has finished.
*
*
I agree to openly advertise my business’ participation in the 1% for Open Space Program so that customers/clients are aware they can choose not to participate.
*
*
I will provide notification of my participation through invoicing.
*
*
I understand that funds collected north of Almont will be dispersed for preservation of open space north of Almont, and that funds collected south of Almont will be utilized south of Almont.
*
*
I acknowledge that I am acting as a trustee on behalf of 1% for Open Space, Inc., and that I have an obligation to remit the funds collected at my business according to the payment schedule selected above.
*
*
If my payment lapses six months or more, my business will be taken off the ad until full payment has been made. Once I have made my payments, I will be placed back on the ad. Not paying money due to 1% for Open Space jeopardizes my ability to remain in the program.
*
*
I agree that should this business change hands, or if I no longer wish to participate in the program, that I must submit written notice of the change to the 1% for Open Space program.
*
Signature
*
Date
*
MM slash DD slash YYYY