B&B Partner Sign Up - Clean the World

Bed and Breakfast Partner Sign Up

Name*
First Last
Your Title
Email*
Bed and Breakfast name*
Location*
Annual Fee
$60 annually. Partner is responsible for shipping and collection materials. 25 room maximum please.
Annual Flat Fee
Price:
Number of Rooms*
Please enter a number from 1 to 25.
Date*
MM slash DD slash YYYY
Billing Information
Phone*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Authorized Signature Information
Name of Authorized Signer*
First Last
Title
Email*
General Manager Information
General Manager (or equivalent) Name
First Last
Title
Email*
Billing Options
Billing Method*
*By selecting Credit Card as your form of payment, you will be signed up for automated recurring billing, to be billed yearly.*
Please Enter your Credit Card Information
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
Total
$0.00
Hidden
Section Break
Terms of Service*
The Program Participant shall pay Company $60.00 ANNUAL program fee and receives from Company a digital copy of the Clean the World Certificate of Official Partnership. Shipping of all donated amenity items is the responsibility of the Program Participant.
- I agree to the Terms of Service and am authorized to sign up for this program
Signature*