Deals Card Registration Form

1. Company *This question is required.

2. Contact person *This question is required.

First Name

Last Name

3. Address

4. Business Telephone *This question is required.

5. Mobile *This question is required.

6. Fax

7. Email *This question is required. This question requires a valid email address.

Categories (Check all that apply)

8. Dining

9. Entertainment

10. General Lifestyle

11. Health and Beauty

12. Kids

13. Retail

14. Services

15. Travel and Tourism

16. Other

Listing Information

17. Business Name as it will appear on Doha Mums website *This question is required.

18. Website or Facebook page (write "none" if not applicable) *This question is required.

19. Location(s) to be listed (e.g. West Bay, Villaggio Mall, etc.): *This question is required.

20. Phone number(s) to be listed online: *This question is required.

Discount(s) Offered

21. Discount description and percentage (e.g. 15% off all purchases) *This question is required.

22. Other offers

Exclusions and Limitations (if any)

23.

No Limitations or Exclusions
Offer limited to specific days/ hours
Minimum purchase
Maximum purchase/ persons
Excluded from discount (e.g. alcohol, certain dates, specific brands, sale items, etc.)
Other - Write in please Please enter an 'other' value for this selection. * This question is required.

24. Please provide all details of the exclusions or limitations

Administrative Information