From this point
on, any business or individual signing this form is termed member. A
membership term is dated from the time of payment for the number of years specified.
For instance, if you sign and pay the initial membership form on July 4, 2009, your
membership is in force from that date until July 4, 2011. Renewal fees are for extended
time frames, at a reduced yearly cost.
I hereby agree to adhere the rules and by-laws set down by
the Hiway Dog Program. The goal is to provide a safe stop, shaded parking and
designated potty location. More amenities are encouraged and each business
can customize the program according to locale. I understand that the Hiway Dog
program offers only a promotional service.
By signing this form you indicate that you agree and
understand the following:
- Members are permitted limited use of the Hiway Dog logo on
in-house promotions.
- Members must purchase the necessary exterior metal Hiway
Dog signs.
- Membership enrollment is for a specified time period.
- Members will provide and maintain a determined level of pet
amenities.
- Members can not hold Hiway Dog responsible for any losses
or injuries sustained on member premises, or as a result from sponsored events. Member
further agrees to idemnify and hold Hiway Dog harmless from any claims or demands rising
out of such claims or losses.
- The Hiway Dog symbol will not be used in a means that is
derrogatory or harmful to the program or other participants in the program
- Any assistance and support from members, that has a
positive affect on animal rescue or humane organizations, will be applauded and
encouraged by this program.
- Member membership status can be revoked or suspended if
these rules are broken, or standards not met.
- Members agree to allow photographs or videos to be taken on
their premises, to be used for marketing applications promoting the Hiway Dog program.
I authorize my bank to release the amount on my authorized
check to Hiway Dog, for the membership term indicated below.
Choose appropriate fee for initial TWO YEAR MEMBERSHIP.
Only one address or location per
membership, unless otherwise negotiated with Hiway Dog.
- Supporter: $150 Gold star on sign rather than bones. For
members who do not directly benefit from increased customer base, but wants to support the
community/program. This includes, but not limited to civic clubs, chambers of
commerces, etc.
Business with 1-20 Employees: $250
Business with 21-50 Employees: $500
Business with 50+ Employees: $1,200
Business/Member Name: ________________________________
Location: _____________________________________________
Billing/Contact Address: _________________________________
City: ___________________ State: _______ Zip:
____________
Email: ___________________ Contact Person:
______________
Date: ___________________ Signature:
__________________
YOU MAY PRINT OUT THIS FORM and mail to:
Hiway Dog
2655 Hwy 8
Cameron, WI 54822
A representative will contact
you, asking for number of signs needed and how to provide payment. Sign costs are
based on the size of signs you require. Call for specific prices for your needs.
