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Welcome to Local 1 Stop andShop, the Small Business Retention Association. The purpose of our association is to help small businesses stay in business through centralization so consumers can find them more easily; support so they have the resources needed to survive; and promotions to attract consumers to them.Local 1 Stop and Shop is a Small Business Retention Association. Did you know through our A.M.P. service model we address the top 3 reasons Small Businesses go out of business according to the SBA (Small Business Administration). Reason 1. No Central Small Business Reference Point (People Don't Know They Exist), Reason 2.No Support for Questions to Be Answered and Resources to be Found, and Reason 3. Limited Experience/Knowledge on How to Create Business Attractiveness. Based on industry research and surveying, we have found that small businesses are not well-equipped to succeed in the market place. Small Businesses/Business Groups/Municipalities/Cities can join the association by completing our membership application below.

To enroll under a pre-existing membership account click here: Membership Enrollment Form

Membership Levels:

Individual Business

•A –Online and In-Print Centralization

•M – Business Resource Matching

•P – Consumer Incentive Development

Membership Fee: $299.99 Annually

Business Group

•A –Online and In-Print Centralization

•M – Business Resource Matching

•P – Consumer Incentive Development

Membership Fee: $999.99 Annually (includes 20 businesses, every additional business is $15 each annually)

Municipality/City

•A –Online and In-Print Centralization

•M – Business Resource Matching

•P – Consumer Incentive Development

Membership Fee: $1,999.99 Annually (includes 40 businesses, every additional business is $15 each annually)

Submission Date

/ Month / Day Year

at

: Hour Minutes

Place You Heard About Our Program

Family/Friend Local 1 Client Internet Advertisement Sales Representative Other - Please Explain Below

Other - Please Explain Here

Membership Type*

Individual Business Business Group - 20 businesses+ (i.e., Chamber, Business Association) Municipality/City - Up to 40 businesses Other - Please Explain Below

Other - Please Explain Here

Name of the Organization Enrolling

Primary Contact Name

First Name Last Name

Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell Number

- Area Code Phone Number

E-mail

Secondary Contact Name

First Name Last Name

Secondary Contact Phone Number

- Area Code Phone Number

Secondary Contact E-mail

How would you rate the level of Awareness you have about your small business or small business community today? (i.e., how many people know about you and can find you easily)

	1	2	3	4	5
Ok						Great

If you selected a rating 3-5, please provide what you do for Awareness and why it has or has not worked for you business or business community?

How would you rate the level of Mobility based on your access or ability to provide resources such as staffing assistance, online job board, and resource matching services to help support your business or business community needs?

	1	2	3	4	5
Ok						Great

If you selected a rating 3-5, please provide sources you have used for staffing assistance, online job board, and/or resource matching. Also tell us what you liked and did not like about the services.

How would you rate the level at which you use Promotions to attract customers to your business or business community and the return from creating these promotions?

	1	2	3	4	5
Ok						Great

If you selected a rating 3-5, please provide the types of promotions you have used, promotion groups, and/or promotion channels and how well this worked or did not work for your business or business group? How frequent does your business or business community use promotions?

Payment Method

Credit/Debit (Complete Online Payment Below) Business Check/Money Order( Mail to 344 Forest Blvd. Park Forest, IL 60466)

Insert 16 digit credit card number here (xxxx-xxxx-xxxx-xxxx):

Insert credit card expiration date here (i.e., 09/12):

Online Payment

Individual Business Membership $299.99 USD
Business Group Membership $999.99 USD
Municipality/City Membership $1,999.99 USD
Small Group Less Than 20 Membership $299.99 USD
Additional Business Fee $15.00 USD

Quantity

Total: $0.00 USD

Request Full Contract Details by Email (Sales@local1stopandshop.com).

Service Arrangements:
This agreement is required to obtain and maintain service with Local 1 Stop and Shop for business retention services, internet marketing, web advertising hosting, website creation/enhancement, shopping cart, or product delivery. This contract supersedes any written, electronic, or oral communication you may have with Local 1 Stop and Shop, and constitutes the complete and total agreement between the parties.
If any litigation or legal issues arise regarding services rendered by Local 1 Stop and Shop, or its associates, these will commence in the jurisdiction of Cook County, Illinois.
Acceptance of this Service Agreement is required for an account to be setup with Local 1 Stop and Shop.
By providing your down-payment for internet marketing, web advertising hosting, website creation, website enhancement, shopping cart, or product delivery, or other services, you indicate that you have read and understand this Service Agreement in its entirety, and agree to be bound by its content.
Failure of Client to comply with this Agreement, shall entitle Local 1 Stop and Shop to (1) terminate the clients account, or (2) suspend access of clients account. Violation of any of the conditions of this contract may result in the immediate termination of your services with Local 1 Stop and Shop.
Financial Arrangements:
a) Client agrees to this month-to-month Contract for hosted website or retention services, and establishes such Agreement by initiating an account to be set up for Client.b) Client will be billed on a monthly basis for Web hosting services and/or marketing services. A separate monthly hosting fee is payable in advance, on the first of each month, and shall be paid by credit card.
c) This Agreement will automatically renew for successive single month periods unless canceled in writing by Client, prior to the monthly renewal date. Renewal prices are subject to change. Renewal of services by Client indicates agreement to Contract revisions.
d) Payment of new Web site or Business Retention projects: Upon Clients approval of the Estimate provided by Local 1 Stop and Shop, Client agrees to pay in advance 50 percent of estimated project costs, and the balance paid in full of all real-life Web site project costs upon completion of project. This includes any expenses which exceed the costs in the Estimate. (For projects exceeding $1000, the Estimate balance can be set up in monthly payments* for project only.) Client will receive a receipt of payment from Local 1 Stop and Shop.
e) Additional Web site changes, or additional Internet marketing, will be charged to Client's credit card* for payment upon completion of changes or marketing work. Client will receive a receipt of payment from Local 1 Stop and Shop.

Signature acknowledges the acceptance of the terms and conditions of Local 1 Stop and Shop*

Local 1 Stop and Shop Small Business Retention Association Membership Application

Contact us at: 1-800-525-4072 or sales@local1stopandshop.com

Bill To/Primary Contact:

Survey of Current Level of Business Awareness, Mobility, and Promotion:

Payment Method: A Credit Card Must Be On File For the 12 Month SBRA Membership.

Thank you for your business and enrollment into the Small Business Retention Association. Membership materials will be sent in 3-5 days. Any questions please contact Local 1 Stop and Shop at sales@local1stopandshop.com or 1-800-525-4072.