MyMilesMatter by Shell Rotella Program Enrollment Form

Participating Installer Information - Please fill out all required fields marked with an asterisk*.

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1. Participating Installer Name*

Please enter Installer Name

2. Participating Installer Manager Name*

Please enter Installer Manager Name

3. Participating Installer Phone Number*

Please enter Installer Phone Number

4. Participating Installer Manager Email*

Please enter Installer Manager Email

5. Participating Installer Website*

Please enter Installer Website

6. Participating Installer Channel*

Please enter Installer Channel

7. Participating Installer Region*

Please enter Installer Region

8. Participating Installer Sector*

Please enter Installer Sector

9. Number of Installer locations who will be participating*

Please enter the number of locations

10. Installer Location

SOPUS Products 10-Digit Sold To Number* 10 character minimum | 0 characters entered

Please enter 10-Digit Sold To Number

SOPUS Products 10-Digit Ship To Number* 10 character minimum | 0 characters entered

Please enter 10-Digit Ship To Number

Location Address*

Please enter Location Address

Location City*

Please enter Location City

Location State/Province*

Please enter Location State

Location Zip/Postal Code*

Please enter Zip/Postal Code

Language Required*

SOPUS Products/Shell Canada Products Sales Rep/Channel Marketer Information

Please fill out all required fields.

11. SOPUS Products/Shell Canada Products Sales Rep or Channel Marketer Name*

Please enter Sales Rep/Channel Marketer Name

12. SOPUS Products/Shell Canada Products Sales Rep or Channel Marketer Phone*

Please enter Sales Rep/Channel Marketer Phone

13. SOPUS Products/Shell Canada Products Area Manager Name*

Please enter Area Manager Name

14. Distributor Name (if applicable)

15. Entity Name (if applicable)

16. Preferred Method of Participation*

Option 1: POS Reward Codes on Receipts - Installer participation through a Centralized or Decentralized system at a store level. Installer has the ability to push Reward Codes through POS system for qualifying purchases. Reward code automatically appears on invoice regardless if customer is already a member.

Option 2: Transaction Data Processing - Installers without the ability to push Reward Codes through POS system can provide transaction data on a regular basis to MMM program to award Reward Miles to members through an identifying factor (i.e. email address, loyalty program member number).

Option 3: No POS Integration - My customers will submit their invoices and request their points through www.mymilesmatter.com in the U.S. or www.mymilesmatter.ca in Canada.

Please select one of the options above

17. Select POP from the items below: (optional)

Complementary Kit • View Image
*Includes Poster & Counter Card

24x24 Window Cling • View Image
US $28.00 USD • CA $140.00 CAD

Counter Mat • View Image
US $32.00 USD • CA $114.00 CAD

8’ x 3’ Vinyl Banner • View Image
US $60.00 USD • CA $165.00 CAD

Eligibility Requirements

The MyMilesMatter Program (the "Program") is an ongoing loyalty Program for support of Shell Rotella and there is no specific "termination date."
Enrollment in this Program is by request only.
All customers, both direct and distributor served, must elect to participate via enrollment.
Each installer location must be enrolled individually.
Distributors enrolling their customer must enroll each installer location individually.
The enrolled installer location provided on this enrollment form must match the installer address on the invoice.
Installer invoices must clearly reference the brand and type of motor oil purchase. Handwritten invoices will not be accepted.
Program collateral will be shipped only to the location enrolled, one kit per location.
Participating installer agrees to support the program launch in stores, to include but not limited to, training employees and displaying Program collateral.
SOPUS Products/Shell Canada Products reserves the right to modify or terminate this Program at any time without prior notification.
Void where prohibited by law.

18. Terms and Conditions*

I agree with all the terms and conditions stated within this document and wish to participate in the MyMilesMatter by Shell Rotella loyalty reward program. My signature below confirms my understanding as well as my agreement to adhere to the requirements during the duration of this program. I further understand that eligibility and all other issues related to the administration of this promotion are determined by SOPUS Products/Shell Canada Products. I authorize participation on behalf of the Participating Installer named below.

Please agree to the Terms and Conditions

19. Customer Signature (Please Sign and Type Your Full Name)*

Please enter your signature above

Please enter your first and last name