Sign up to become a Cortez Cash Merchant

Use this form to become a Cortez Cash Merchant and offer the convenience of Gift Certificates all year long.

Name of Participating Business:
Business Address:
City:
State:
Zip/Postal Code:
Daytime Phone:
Contact Name:
Contact Email:

You may send us your signup request electronically by clicking the SEND BUTTON below or PRINT THIS COMPLETED SIGNUP FORM and mail to: CORTEZ RETAIL ENHANCEMENT ASSOCIATION PO Box 1715, CORTEZ, COLORADO 81321