Office of Human Resource Services

1. Name of business:

2.  Name of provider or authorized agent:

3. Telephone number:

4. E-mail address
(undelivered e-mails give the University the right to deny)

5. Business location of product or services:

     Street address:

     City:

      State/Province:

     Zip Code:

6. Business mailing address:
    Check if same as physical location:
    Street address:

    City:

    State/Province:

    Zip Code:

7. Amount of discount in %

8. Please enter a brief description (no more than 50 words) of your discount offer as you would prefer it to appear on the website: (Vendors are welcomed to include a weblink if they would like to provide more information).

9.  Please list how to redeem this discount (i.e., present a valid UF card at checkout, visit our Web site for details on receiving your discount, etc.):
   

10. Web site address
(Not required, but we recommend that vendors provide a link with pictures of products or services, amount of discount and other information our faculty and staff need to know.)

By submitting this Participation of Understanding document, you agree that this is not a contract with The University of Florida. Submitting this document, you agree to provide all the necessary information to have your product or service listed on the Web site of the university. Failure to provide all such information could result in a delay in processing your form. You agree to provide written notification to the University of Florida Benefits Office about discontinuation, manufacturer recalls or any other information about your product or service that may not meet the mission and values of The University of Florida.