ON-LINE "LIST ME" FORM
Get your business listed in the ClubAlliance Benefits Directory and be promoted to all ClubAlliance Members!
Want more details?
Click here
!
Click here for "
How Much
?"
Please complete a separate form for each location you wish listed:
(Click here for
Printable "List Me" Form
)
Name of Business (DBA):
BizType - BizSubType
Dining - Fine
Dining - Casual
Dining - Fast Food
Dining - Coffee/Snacks
Dining - Other
===
Entertainment - Adult Club
Entertainment - Amusement Park
Entertainment - Band
Entertainment - Bar
Entertainment - Casino
Entertainment - Dance Club
Entertainment - Movie Theater/Playhouse
Entertainment - Museum
Entertainment - Nightclub
Entertainment - Special Event
Entertainment - Sports Bar
Entertainment - Venue
Entertainment - Other
===
Fun & Activities - Golf
Fun & Activities - Snow Skiing
Fun & Activities - Water Sport
Fun & Activities - Extreme Sport
Fun & Activities - Other
===
Services - Advertising
Services - Automotive
Services - Barter Exchange
Services - Catering/Party Planning
Services - Health & Fitness
Services - Meeting Facility
Services - Music Services
Services - Personal-Beauty
Services - Photographer
Services - Postal & Shipping
Services - Singles/Matchmaking
Services - Ad Specialties
Services - Video Services
Services - Other
===
Shopping - Auto Supply
Shopping - Clothing
Shopping - Jewelry
Shopping - Gifts & Goodies
Shopping - Furniture - Antique
Shopping - Household/Hardware
Shopping - Sports
Shopping - Pets
Shopping - Other
===
Travel - Accommodations:Hotel/Motel
Travel - Accommodations:Resort
Travel - Accommodations:Other
Travel - Agency
Travel - Transportation:Air
Travel - Transportation:Ground
Travel - Transportation:Water
Travel - Transportation:Other
Travel - Other
===
Other
Location:
State/Province
AL Alabama
AK Alaska
AZ Arizona
AR Arkansas
CA California
CO Colarado
CT Connecticut
DE Delaware
DC Dist. Of Colombia
FL Florida
GA Georgia
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VA Virginia
WA Washington
DC Washington, DC
WV West Virginia
WI Wisconsin
WY Wyoming
===
AB Alberta
BC British Columbia
MB Manitoba
NB New Brunswick
NF Newfoundland
NT Northwest Territory
NS Novia Scotia
ON Ontario
PE Prince Edward Isl.
PQ Quebec
SK Saskatchewan
YT Yukon Territory
===
Other
(Pick the closest Major Metro area )
Major Metro County
Alabama - Anniston
Alabama - Birmingham
Alabama - Dothan
Alabama - Huntsville
Alabama - Mobile
Alabama - Montgomery
Alabama - Tuscaloosa
Alaska - Anchorage
Alaska - Fairbanks
Alaska - Juneau
Arizona - Flagstaff
Arizona - Phoenix
Arizona - Tucson
Arizona - Yuma
Arkansas - Fayetteville
Arkansas - Ft. Smith
Arkansas - Little Rock
California - Bakersfield
California - Fresno
California - Irvine
California - Los Angeles
California - Monterey Bay
California - Oakland/East Bay
California - Palm Springs
California - Sacramento
California - San Bernardino
California - San Diego
California - San Francisco
California - San Jose
California - Santa Barbara
California - Silicon Valley
Colorado - Colorado Springs
Colorado - Denver
Colorado - Fort Collins
Colorado - Grand Junction
Connecticut - Danbury
Connecticut - Hartford
Connecticut - New Haven/Bridgeport
Connecticut - Stamford
Delaware - Dover
Delaware - Wilmington
District of Columbia - Other
District of Columbia - Washington
Florida - Daytona
Florida - Ft. Lauderdale
Florida - Ft. Myers/Naples
Florida - Gainesville/Ocala
Florida - Jacksonville
Florida - Miami
Florida - Orlando
Florida - Pensacola
Florida - Tallahassee
Florida - Tampa/St. Petersburg
Georgia - Atlanta
Georgia - Augusta
Georgia - Columbus
Georgia - Macon
Georgia - Savannah
Hawaii - Honolulu
Hawaii - Maui
Idaho - Boise
Idaho - Idaho Falls
Illinois - Bloomington
Illinois - Chicago
Illinois - Peoria
Illinois - Quad Cities
Illinois - Rockford
Illinois - Springfield
Indiana - Evansville
Indiana - Ft. Wayne
Indiana - Indianapolis
Indiana - South Bend
Iowa - Cedar Rapids
Iowa - Des Moines
Iowa - Sioux City
Kansas - Topeka
Kansas - Wichita
Kentucky - Lexington
Kentucky - Louisville
Kentucky - Paducah
Louisiana - Alexandria
Louisiana - Baton Rouge
Louisiana - Lafayette
Louisiana - Lake Charles
Louisiana - Monroe
Louisiana - New Orleans
Louisiana - Shreveport
Maine - Bangor
Maine - Portland
Maine - Presque Isle
Maryland - Baltimore
Maryland - Frederick
Maryland - Salisbury
Massachusetts - Boston
Massachusetts - Springfield
Massachusetts - Worcester
Michigan - Ann Arbor
Michigan - Detroit
Michigan - Flint
Michigan - Grand Rapids
Michigan - Lansing
Michigan - Saginaw
Minnesota - Duluth
Minnesota - Minneapolis/St. Paul
Mississippi - Biloxi
Mississippi - Hattiesburg
Mississippi - Jackson
Mississippi - Meridian
Missouri - Columbia/Jefferson City
Missouri - Joplin
Missouri - Kansas City
Missouri - Springfield
Missouri - St. Louis
Montana - Billings
Montana - Butte
Montana - Great Falls
Montana - Missoula
Nebraska - Lincoln
Nebraska - Omaha
Nevada - Las Vegas
Nevada - Reno
New Hampshire - Lebanon
New Hampshire - Manchester
New Jersey - Atlantic City
New Jersey - Mahwah
New Jersey - Newark
New Jersey - Paramus
New Jersey - Trenton
New Mexico - Albuquerque
New Mexico - Santa Fe
New York - Albany
New York - Binghamton
New York - Buffalo
New York - Burlington
New York - Elmira
New York - Ithica
New York - Kingston
New York - Long Island
New York - New York
New York - Newburgh
New York - Poughkeepsie
New York - Rochester
New York - Schenectedy
New York - Syracuse
New York - Utica
New York - Watertown
New York - White Plains
North Carolina - Charlotte
North Carolina - Greensboro
North Carolina - Raleigh/Durham
North Carolina - Winston Salem
North Dakota - Bismarck
North Dakota - Fargo
Ohio - Akron
Ohio - Cincinnati
Ohio - Cleveland
Ohio - Columbus
Ohio - Dayton
Ohio - Toledo
Ohio - Youngstown
Oklahoma - Oklahoma City
Oklahoma - Tulsa
Oregon - Eugene
Oregon - Portland
Oregon - Salem
Pennsylvania - Allentown
Pennsylvania - Erie
Pennsylvania - Harrisburg
Pennsylvania - Philadelphia
Pennsylvania - Pittsburgh
Pennsylvania - York
Rhode Island - Providence
South Carolina - Charleston
South Carolina - Columbia
South Carolina - Florence
South Carolina - Greenville
South Dakota - Rapid City
South Dakota - Sioux City
South Dakota - Sioux Falls
Tennessee - Chattanooga
Tennessee - Knoxville
Tennessee - Memphis
Tennessee - Nashville
Texas - Galveston
Texas - Abilene
Texas - Amarillo
Texas - Austin
Texas - Baytown
Texas - Bellaire
Texas - Bryan
Texas - Clear Lake
Texas - College Station
Texas - Conroe
Texas - Corpus Christi
Texas - Dallas/Ft. Worth
Texas - El Paso
Texas - Houston
Texas - Huntsville
Texas - Katy
Texas - San Angelo
Texas - San Antonio
Texas - The Woodlands
Texas - Wichita Falls
Utah - Provo
Utah - Salt Lake City
Vermont - Burlington
Vermont - Rutland
Virginia - Charlottesville
Virginia - Fairfax
Virginia - Norfolk
Virginia - Richmond
Virginia - Roanoke
Washington - Seattle
Washington - Spokane
Washington - Tacoma
Washington - Vancouver
West Virginia - Charleston
West Virginia - Clarksburg
West Virginia - Huntington
Wisconsin - Duluth
Wisconsin - Eau Claire
Wisconsin - Green Bay
Wisconsin - Madison
Wisconsin - Milwaukee
Wyoming - Casper
Wyoming - Cheyenne
Other
Country
UNITED STATES
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO,THE DEMOCRATIC REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (local name: Hrvatska)
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRANCE, METROPOLITAN
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MC DONALD ISLANDS
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA
KUWAIT
KYRGYZSTAN
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT VINCENT,GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SPAIN
SRI LANKA
ST. HELENA
ST. PIERRE,MIQUELON
SUDAN
SURINAME
SVALBARD,JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD,TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS,CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS,FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Contact Info:
Discount or Benefit you'd like to offer:
(Either select from the list below or describe your offer in the space provided. Your offer will be reviewed prior to your application and listing being accepted. We wish to keep all offers competitive and of reasonable value to our members. Please review the "
Rules of Use
" for blanket restrictions and disclaimers. If you need to state additional disclaimers, please do so in the space provided below.)
TIP: Less restrictive or confusing offers will generate the most business for you!
From the Benefits you select below, Member may receive:
All Benefits Selected per Visit
Only One Benefit per Visit
- - - - - - - - - - - - - - - - - - - - -
Select Appropriate Benefit Offers for your business. You may choose as many as you would like promote to our Members:
"20% Off Entire Bill"
"2 For 1"
on
Other:
Other:
Other:
Other:
Additional Disclaimers:
(refer to
Rules
to reduce redundancy)
Artwork:
Please e-mail us your logo or artwork. The space available is
236px wide by 103 px high
. Please send either
JPEG or GIF
format. Animated GIFs are also accepted. If you would like us to build you an animated GIF, an additional one-time charge will apply.
"
How Much
?"
Please Choose One:
Build Me a Static Banner (no charge)
No. I'll supply my own Static or Animated Banner
Yes! Please build me an Animated Banner
(
How Much
?)
Please describe what you would like on your Animated Banner and maximum number of frames:
Animated Banner. Max. # frames: Describe what you want it to look like:
If you have any artwork, please
EMail
it to us.
Thank you again for your participation with ClubAlliance.
We will be sending you an invoice for your Listing. In the meantime... Please log on to the
Client Support
page to print a
"What To Look For" Program Identification Sheet
to help you inform your staff of your participation in the ClubAlliance Benefits Network.