"Award Certificates Sample"
Smart Choice Rewards Program Enrollment Form Please complete entire form - incomplete forms will not be accepted <<<<< PLEASE PRINT>>>>> Service Center (Employer) Name: Business Address: City, State, ZIP: WD Region Number: Pronto Auto Parts Store Name: City, State: Participant Name: Residence Address: City, State, ZIP: Phone Number: ( ) Social Security Number: I have read and understand the terms and conditions of the Pronto Smart Choice Rewards Program and agree to comply thereby. I understand that my award activity may be reported annually as form 1099 earnings to the U.S. Internal Revenue Service (current limit $600/yr). I understand that all award certificates will be sent to the address indicated on each award tally sheet however, my residence address will be kept on file as my primary address. I further understand that my Smart Choice Rewards Member number is exclusive only to me and therefore should not be shared for I am liable for any reward activity linked to my member/Social Security number. Please enroll me in the Pronto Smart Choice Rewards Program: Signature Date Accepted by: Store Owner/Manager Date WD Rewards Manager Date WHITE - Smart Choice HQ YELLOW - Pronto WD PINK - Participant