Please note that the form below is specifically for new Perk Providers who are interested in promoting their products/services on Perkopolis. If you or your organization are already a part of Perkopolis, please contact our customer service for support. If you are an HR professional looking to register your employees with us for the first time, please complete the form on this page.

First Name

Last Name

Email

Job Title

Phone Number

Company Name

Company Website (URL required)

Company Street Address

City

Province / State Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon

Country Canada United States

Industry Fashion Technology/Electronics Home Decor and Furniture Home Services Auto Beauty Health & Personal Care Food & Beverage Babies/Kids Personal Finance/Insurance Gifting Travel Accommodations Flights/Car Rentals/Transportation Attractions/Events Other

What is the product's/service's geographic reach? Local Provincial / Territorial / State National

What are your marketing objectives for the next 6-12 months?

Are you open to providing an exclusive offer to our members? Yes No

Our partnership requires a minimum marketing investment. Is this something your team is open to discussing? Yes No

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