FREE REWARDS FOR RETAILERS
NO STRINGS ATTACHED!

NOTE:  Regenerative Rewards membership is limited to one account per retailer and the eligible participant must be in a management position.

Please complete the following:*
Email Address:	(This will also be your username)
First Name:
Last Name:
Title:	Asst. Manager Deli Manager General Manager Grocery Manager Meat Director Meat Manager Other Owner Purchaser Store Manager
Retailer Name:
Foodservice Distributor:
Distributor City:
Distributor State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington, D.C.
My Store Type:	Grocery Store, Supermarket or Farmers Market Quick Service/Deli/Countertop
Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington, D.C.
Zip Code:
Phone:	(xxx-xxx-xxxx)   ext.
Annual Sales Volume (USD):	$
Are you responsible for food purchases?	Yes  No

	By participating in Regenerative Rewards, you attest that your membership does not violate any policies or guidelines imposed by your employer
	By joining Regenerative Rewards, you agree to the terms and conditions. We respect your privacy and will never sell or rent your information to anyone.
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