S.E.A. New Store Online Application

If you would prefer to send your application via fax, you can download the necessary forms on this page.

Shipping: Download shipping manifest

*Required Fields
*Effective as of date:
Example: mm/dd/yyyy
 
Present Company/Division/Store Information
*Name:
*Mailing Address:
 
*City: *State: *Zip:
*Phone# Fax#
*Email:
*Payment Address:
 
*City: *State: *Zip:
 
Physical location of store (Single store operators only).
If this application is for more than one store, please email a store list to: bmorris@coupon-redemption.com, or fax to 425-313-1003.
*Store Name:
*Street (Not PO Box)
*City: *State: *Zip:
*Phone#
*Store Type:
Liquor License# Cigarette License#
Attatch a store list
 
General Information
*Type of Entity
(Select one)
Company trade name or store name:
Former store name:
(if applicable)
Date business was started or acquired:
Example: mm/dd/yyyy
Federal Tax ID or Social Security Number:
Est. Gross Annual Sales:
# of Employees (full & part-time):
 
Suppliers
Supplier 1  
Name:
Street or PO Box:
City: State: Zip:
Phone#
Customer Number:
Supplier 2  
Supplier 2 Name:
Street or PO Box:
City: State: Zip:
Phone#
Customer Number:
 
Store Information
Type of Store(s): (Complete the following.)
  *Number of Stores Avg. Selling Square ft./store Number of Checkout Aisles per Store Avg. weekly Open Hours
Conventional Superstore
Combination (Super) Store
Warehouse Store
Small Grocery
Convenience Store
Pharmacy Only
Department Store
Liquor Store Only
Hardware Store Only
Restaurant Only
Military Commissary
Pet Food Dealer
Gasoline Service Station
Other
Applicable Product Categories Stocked: (Please check all that apply.)
   
 
Coupon Information
*Coupons will be submitted by
(Select One)

Estimate average dollar value of weekly coupon redemptions:
Coupon Submissions Frequency:
How are coupons submitted?
How often do you double/triple coupon?
Individual responsible for coupon redemption:
Title:
 
Owner/Manager Certification
I hereby certify that all of the information provided in this application is correct to the best of my knowledge.
*Name:
*Title:
 


S.E.A. Enterprises, Inc. Coupon Redemption Service Agreement

[+] Printable Copy

S.E.A. Enterprises, Inc. Facts

  1. S.E.A. Enterprises, Inc has been solving coupon redemption problems for retailers since 1970. Located in the Seattle area, we pride ourselves on being honest, reliable and convenient.
  2. S.E.A. Enterprises, Inc. is an authorized retail clearinghouse with all the major manufacturers and/or their agents.
  3. S.E.A. Enterprises, Inc. uses TK Manufacturing to process coupons and RPR for consulting services.
  4. S.E.A. Enterprises, Inc. complies with Industry Coupon Guidelines and works to reduce the amount of charge-backs to S.E.A. Enterprises, Inc. retailer clients.

Retailer Service Agreement
This agreement is made by and between the parties designated below as ’Retailer’ and ’SEA’.

  1. The Retailer certifies that all coupons submitted to SEA for redemption meet the manufacturers’ terms and conditions that are specified on the coupons.
  2. Retailer agrees to submit only coupons redeemed at Retailer store(s) by customers for products carried by the store(s).
  3. Retailer agrees that their store will follow industry guidelines for coupon redemption and will make information available (i.e. proof of purchase, questionnaire) to the authorized manufacturers or their agents upon request.
  4. The Retailer shall authorize all Manufacturers or their Agents to directly pay SEA Enterprises, Inc. for the invoices created and submitted by SEA on their behalf.
  5. The Retailer authorizes SEA Enterprises to deduct any authorized chargeback from the payments to the e Retailer. These chargebacks will be documented with the information provided by the Manufacturer or their Agent.
  6. The Retailer agrees to accept SEA Enterprises chargeback detail as documentation of the manufacturer chargeback or rejection in place of the physical coupon(s).
  7. Retailer agrees to notify SEA Enterprises within 15 days of any changes in ownership.
  8. SEA Enterprises shall charge back to Retailer the full amount charged back by the manufacturer for any coupon(s) that have not been paid in full.
  9. SEA uses TK Manufacturing Services to process coupons.

Terms of this Agreement

  1. These services will commence with the first shipment of manufacturers coupons submitted by the Retailer.
  2. These services will terminate 30 days after receiving written notification. Retailer must pay any outstanding chargebacks in full.
  3. SEA Enterprises agree to pay Retailer for the face value of coupons paid, plus or minus any adjustments from previous submissions, if applicable.
  4. SEA Enterprises may hold, at any time, a security deposit from the coupon submission at SEA Enterprises sole discretion, this will be communicated with the retailer prior to holding.
  5. The Retailer must provide a store list, complete questionnaire and authorization form in addition to signing this Service Agreement. Any changes to the store list must be communicated to SEA Enterprises.

I have read and understand the Service Agreement.


Signature: Date: