Mission Coffee & Tea Co. Inc

    Group Enrollment Form

       (Please print clearly)

CareClicks.com

 

1. Group Name:__________________________________________________________

2. Street Address:________________________________________________________

3. City, State, Zip:________________________________________________________

4. Telephone #:_____________________________Fax#:_________________________

5. Website URL__________________________________________________________

6. Primary Contact Person:________________________________________________

7. E-mail:_______________________________________________________________

8. Secondary Contact Person:______________________________________________

9. E-mail:_______________________________________________________________

10. Checks payable to:____________________________________________________    

 

Our nonprofit organization understands and agrees to the following: 

  • This service is 100% complimentary (unless a custom online mall is requested, which requires a 1-time set-up fee of $95.00), and may be cancelled at any time.
  • Payments are due quarterly (3-6 months in arrears), subject to a minimum of $30.00.  We will receive detailed Sales Activity and Remittance Reports each January, April, July and October, detailing all transactions occurring via our mall.
  • Commissions payable are listed adjacent to the merchant name in the mall
  • Commissions are only payable via merchant transactions “in the mall”. Any purchases or activity via sponsored advertising links are not commissionable
  • The quarterly commission schedule below includes all standard + bonus income payable by merchants, PLUS all temporary incentives commissions and performance-based advertising fees:

Gross earnings up to $5,000 = 50.00%
Gross earnings $5,000-$20,000 = 70.00%
Gross earnings $20,000+ = 90.00%

 

Example: Your organization grosses $11,000 in a quarter. Your commission will be 50% of the first $5,000 ($2,500) + 70% of the $6,000 balance ($4,200) for a total of $6,700.

 

CareClicks.com LLC will not be responsible for commissions earned that may be uncollectible from a merchant for any reason. All future commission and bonus amounts are subject to change by merchants or CareClicks.com LLC without notice.

 

Name_____________________________________Title:____________________________

     

      Signature:_________________________________ Date:____________________________

 

CareClicks.com LLC- 38 Center Road, Mahopac, NY, 10541, 845-628-9146

JH2006   Fax completed form to 317-816-7001