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
*
required
Direct
Indirect
Please enter Installer Channel
7. Participating Installer Region
*
required
Please enter Installer Region
8. Participating Installer Sector
*
required
Quick Lube
Fast Fit
FWS
IWS
HDI
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
*
required
UNITED STATES
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
CANADA
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Please enter Location State
Location Zip/Postal Code
*
Please enter Zip/Postal Code
Language Required
*
English
French
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
Window Cling •
View Image
US
$28.00 USD •
CA
$54.00 CAD
Counter Mat •
View Image
US
$32.00 USD •
CA
$114.00 CAD
Banner •
View Image
US
$60.00 USD •
CA
$95.00 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
Clear Signature
Please enter your first and last name
SUBMIT