Shop for an Impact Registration

CONTACT INFORMATION

Name

Phone Number

BUSINESS INFORMATION

Business/Store Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Store Type

Other

Store Hours

SHOP FOR AN IMPACT DETAILS

What percentage of sales can you contribute?

Who can shop to make an impact at your store?

Other

Is there anything else you want shoppers to know about your store?

Select "YES" if you'd like to learn more about how your Shop for an Impact contribution can make your business eligible for sponsorship benefits through UWKC's 365 Small Business Circle.

THANK YOU! We look forward to Shopping for an Impact with YOU!

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