The Purpose of this questionnaire is to provide coupon-issuing manufactures with data on retailers who redeem coupons. All information submitted will be held strictly confidential. This coupon questionnaire must be completed and in file before payment can be issued for coupon submission:
YOUR CUSTOMER NO:
II. Store Data
III. Coupon Data (For total entity submitting coupons store, company, division)
0-15 weeks per year
15-30 weeks per year
Over 30 weeks per year
- The RETAILER certifies that all coupons forwarded to Millennium Coupon Services Redemption ("MCRS") meet manufacturer's terms and conditions.
- MCRS shall sort, count, submit and invoice distributing manufacturers, or their authorized agents, who have authorized MCRS to act as a clearinghouse.
- The RETAILER will release and discharge the Manufacturer from any and all liability for payment to RETAILER by reason of making said payment to MCRS with the exception of pay-direct coupon submissions.
- For coupons submitted to the manufacturer on a pay-direct to retailer basis, RETAILER will pay MCRS its service charge, included in the payment by the manufacturer.
- RETAILER authorizes MCRS to maintain a security deposit by deducting a percentage of the amounts otherwise payable to customer as MCRS reasonably determines is necessary to cover the cost of rejected coupons or other chargebacks by a Manufacturer.
- Upon Manufacturers rejection of a coupon for redemption or any other refusal to pay in a timely manner, MCRS shall charge back to RETAILER the full amount charged back by the manufacturer plus a chargeback fee equal to the 40 cents per charged back coupon and also shipping and handling cost applied by manufacturers.
- In the event of a chargeback, RETAILER shall promptly pay to MCRS any unreimbursed amounts. RETAILER further agrees that he/she will be responsible to MCRS for any attorney's fees and costs incurred by MCRS in obtaining payment for chargeback.
- RETAILER agrees to accept MCRS chargeback detail as documentation of manufacturer chargeback or rejection in place of physical coupon(s).
- The RETAILER'S coupons will be insured by MCRS for loss from fire and theft from the time of receipt, until received by the respective manufacturers.
- This agreement shall ensure to the benefit of and be binding upon the parties hereto, their successors and or assigns.
- RETAILER agrees to notify MCRS within 15 days of any changes of ownership.
- RETAILER submits to the jurisdiction of the state of New Jersey and to the Superior Court, Morristown, New Jersey. RETAILER irrevocably waives, to the extend permitted by law, and objection to the venue of any action brought in such court, and any claim that such action has been brought in an inconvenient forum. If RETAILER shall not have appointed an agent for service in New Jersey, RETAILER agrees it may be served by registered or certified mail, postage prepaid, mailed to its last known business address.
- This agreement is in force from the date of signing and may be terminated by either side by giving 30 days notice in writing.
I agree to the terms of the Express Service Agreement of Millennium Coupon Redemption Service