JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sign Up For Designated Driver Program
Sign up here to be a part of our Designated Driver Program
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Business Name
*
Your answer
Business Address
*
Your answer
Business Phone Number
*
Your answer
Business Email
*
Your answer
First and Last Name of Owner
*
Your answer
Would your business like to hand out wristbands to designated drivers, or would your business like to offer a discount to people wearing one? Or both?
*
Wristband
Discount
Both
Would you like a Photo Taken of your business? We promote all of our participants on Social media
*
Yes
No
If yes to Discount, what type of discount? (e.g. 10% discount or a Free Soda for Designated Driver) Write N/A if you won't be offering a discount
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside Rim Family Services, Inc..
Report Abuse
Forms
