Member-to-Member Discount Program Participation Form

Organization *

Discount Contact Person *

Email Address *

Phone Number *

Website *

Please provide the website link to your organization's specific discount. If not applicable, enter your organization's general website.

What discount/promotion would you like to offer 1A member businesses? Please specify. *

Will your discount be ongoing or will it have an expiration date? *

Enter required value Ongoing (recommended) Expiration Date

If you selected "Expiration Date" above, enter it here.

Are there other terms or conditions to this discount? Please specify. *

Would you like to provide additional marketing materials for your M2M Discount? *

Enter required value Yes, my company will provide 1A with discount promotional materials by emailing Info@OneAcadiana.org. No, please use the information listed above as promotion.

By checking this box, you agree to the following M2M Program Terms & Conditions: *

• M2M Program participation and offers are exclusive to 1A member companies. 
• If you need to change or alter your discount offer or update your discount’s contact person, please contact Senior Manager of Membership, Chris Messner, at Chris@OneAcadiana.org. 
• To end a M2M discount offer, notify Senior Manager of Membership, Chris Messner, at Chris@OneAcadiana.org at least 30 days in advance. 
• One Acadiana reserves the right to terminate or revoke a M2M Program discount at any time.

Authorization *

By providing your first and last name below, you agree to participate in One Acadiana’s Member-to-Member (M2M) Discount Program. You also acknowledge your company’s discount offer is valid and will be honored when redeemed by eligible 1A members.