Business Registration

Fundraiser Code (optional)

Please enter the Fundraising Code (it's on the materials you were given) so that we can notify the Fundraiser.

Business Name

Name of business as it will appear on the hookup.

Legal name of business as it will appear on this website.

Business Type Select Automobile Beauty Clubs / Nightlife Entertainment Fitness General Services Home Services Internet Pets Professional Services Restaurants Retail / Shopping Travel Other

What type of business is this? (you can edit this later)

Street Address

Address where we can contact you (you can setup locations later if this is a corporate address).

Apt/Suite/Other (optional)

Suite, floor, etc.

City

What city is the business in?

State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

What State are you in?

Market Select State first

Primary market of the business (if you are in multiple markets you can set that up later).

Zip

Zip code (5 digits is fine).

Phone Number

Phone number for the business (for customers).

Website (optional)

If you don't have one you can leave this blank.

First Name

First name of person who is authorized to act for the business.

Last Name

Last name of person who is authorized to act for the business.

Email

This is the email address you will use to login (not displayed on site).

Confirm Email

Email again please to make sure we got it right.

Password

Password used to login to HelperMonkeys website.

Confirm Password

Password again please - let's double check we got it right.

Phone Number

How can we contact you? (This phone number will not display on the site).

Phone Extension (optional)

Phone extension (this will not display on the site).

I would like to receive marketing emails from HelperMonkeys

I agree to the Terms of Service, I am over the age of 18, I may legally sign on behalf of this business and I am a resident of the United States.

You must be over 18 and legally able to act on behalf of this business and I reside in the US.