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. Hiway Dog reserves the right to contract large franchises and corporations for extended time periods, for reduced rates.
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 will allow unannounced visits by Hiway Dog members and personnell to verify they are providing the ammenities they advertise.
- Members must maintain safe, clean areas suitable for pets and their people.
- Members must use the provided standard logo for ALL signs and advertising without any modifications.
- Membership enrollment is for a specified time period, as agreed to at this signing.
- 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 program standards are 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.
- Only one address or location per
membership, unless otherwise negotiated with Hiway Dog.
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.
This INTRODUCTORY PRICE available until December 31, 2010.
- Business with 1-20 Employees: $79
- Business with 21-50
Employees: $195
- Business with 50+ Employees: $495
REGULAR PRICE FOR TWO YEAR MEMBERSHIP WILL REVERT BACK TO THE FOLLOWING ON JANUARY 1st, 2011.
- 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:
__________________
Length of Membership:___________________
YOU MAY PRINT OUT THIS FORM and mail with check to:
Hiway Dog
N8060 Cty Rd J
Menomonie, WI 54751
or Call 715 642-2999 to set up a Paypal payment.
A representative will contact
you, asking if you would like to purchase available metal signs and answer any questions. We provide a TM graphic that you may use on your advertising and order your custom signs from your local sign maker. Our sign costs are
based on the size of signs you require. Call 715 642-2999 if there is anything else we can assist in.
