Customize Your Scratch-Off Promotion

Use this form to customize your Scratch Off Cards

Your Name*
First Last
Your Email*
Company*
Company Phone*
Suggestions for prizes:
- Free soda, dessert, appetizer, entrée, or a specific menu item
- $10, $20, $50 , or $100 gift cards to your restaurant
- Movie Tickets
- Dinner and a movie
- Having 1 big prize to draw people in works very well:
- Trip
- Sports or live show tickets
- TV
- Ipad
- Dinner for a year for FREE (give them a 12 certificates - 1 for each month)
Total Number of Cards Ordered*
Card Start Date*
Date Format: MM slash DD slash YYYY
Card End Date*
Date Format: MM slash DD slash YYYY
Keep Cards Separated By Prize?*
- Yes
- No
Would You Like A PROMO CODE Printed On The Card?*
- Yes
- No
Promo Code to be printed:
Prize #1
Prize #1 Offer
Prize #1 Quantity
Special Notes or Disclaimer
Any special notes for this prize?
Prize #2
Prize #2 Offer
Prize #2 Quantity
Special Notes or Disclaimer
Any special notes for this prize?
Prize #3
Prize #3 Offer
Prize #3 Quantity
Special Notes or Disclaimer
Any special notes for this prize?
Prize #4
Prize #4
Prize #4 Quantity
Special Notes or Disclaimer
Any special notes for this Prize?
Additional Information
Total Cards You Ordered*
Total Cards You Customized*
Questions?

Email us at [email protected] or call Tara at the office at 248-716-3110.
Name
This field is for validation purposes and should be left unchanged.

Suggestions for prizes: