Information Form for Merchant Partner

PRA information form for merchant partner

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Merchant Partner
Information Form
Name of Company / Establishment:
__________________________________________________________________________________
Address of Company / Establishment:
__________________________________________________________________________________
Brief Description of Company / Establishment:

Offers to PRA Retirees / Employees / Marketers:

Discounts / Freebies / Privileges

Products / Services

Attached Company / Establishment Logo
Attached Company / Establishment Pictures / Audio-video Presentation

Conforme: The owner/company expressly agrees to allow PRA to post the information herein on its website and
other materials for the sole use of retirees

Authorized Representative
(Printed Name & Signature)

PRA-CR-FORM-0028

Date

ISSUE NO: 0001

ISSUE DATE: JANUARY 2017