Cubcard Premium Business Agreement Header Image


CubCard Premium Business Agreement


Please fill out the form below if you'd like to partner with the Student Government Assembly's CubCard Premium Program and offer discounts to SRJC students.

Contact Name*
Example: 5% off of purchases for CubCard Premium Members
Example: Black out dates, valid for one year, etc.
Example: Provide links/handles for your social media accounts that we can publish in our marketing materials
If possible, please provide a logo or graphic for your business that we can use to promote you to SRJC students.
No File Chosen
File uploads may not work on some mobile devices.
By Signing above, you confirm that the information above is correct and that you will provide the listed discounts to CubCard Premium students for the duration of the term provided. Use your mouse or finger to draw your signature above
Powered by Formstack Create your own form