Vaqueros Discount Program Application

Information

Please provide all business information requested in this section.

Business Name (Required) (Please include the business name)

Type of Business (Required)

Is your business locally owned, regional, or national?

Locally Owned

Regionally Owned

Nationally Owned

If a restaurant/food vendor, attach county-issued permit or related inspection reports. If service requires state/county licenses, upload documents here (Required) (Please upload a Zipped file if attaching multiple documents.)

Multiple Locations (Use only if all locations are part of the same company, and each agrees to offer the discount to the UTRGV community in accordance with program policy.)

No, not multiple locations

Yes, multiple locations

Primary location(s) where the discount will be honored

Business Address (Required) (Must be a physical location with a verifiable mailing address)

City (Required)

State (Required)

Zip Code (Required)

Business Website or Social Media Page (Required)

Contact Information

Please enter the primary's contact information.

Contact Name (Required) (The name of the person to contact about this application)

Job Title (Required)

Are you a current UTRGV employee or staff member?

Yes

Are you a UTRGV, UTPA, or UTB alumni?

Yes

Business Email Address (Required)

Business Telephone Number (Required)

Company Descriptions

Please fill out all required company information.

Describe Your Company or Services (Required) (Please include information you would like on our webpage (include company phone number for customers))

Total years your company has been in business (Required)

Is your company BBB Accredited?

If a Higher Education merchant, please select your regional accreditation institution

Are you or any individual with ownership interest in your business currently an officer or employee of UTRGV or the UT System? (Required) (You are required to submit this activity and get approval in the COI portal.)

Is there any open litigation pending related to your company products or services? (Required)

If yes, describe the open litigation

Is your company compliant with Payment Card Industry Data Security Standards PCI (Required)

When was the last time your company conducted a PCI audit? Format: mm/dd/yyyy

Does your business require customers to enter personal or financial information online to redeem the discount?

Yes

Area of Discount

Type of discount or discount rate (Please be specific. E.g. 20% discount of entire purchase)

How to redeem discount? (Required)

Preferred discount start date Format: mm/dd/yyyy (If Applicable)

Preferred discount end date Format: mm/dd/yyyy (If Applicable)

Do you agree to uphold the agreed upon discount for 1 year minimum or unless otherwise agreed upon date?

Yes

Referred By (Required)

Vaqueros Discount Program Application

Information

Contact Information

Company Descriptions

Disclaimer

University Marketing and Communications

Brownsville

Edinburg

Email