Elixir Fund Registry -Business Sign-Up

If you would like to sell gift certificates for your business through the Elixir Fund Registry, please fill in the form below. 

View the terms of the agreement online or by downloading this form ElixirRegistry_agreement

    First Name

    Last Name

    Business Name

    Street Address

    City

    State

    Zip

    Your Email

    Phone

    Website

    Please provide a brief description of your business.

    Please provide a brief description of the service(s) you would you like to offer through the Elixir Fund Registry and what the charge for each service will be.

    Please provide a logo for your business. A square image in jpg format works best.
    If you do not have a logo, we can create a graphic with just your business name.
    *File size should not exceed 2mb.

    We will send you a link to preview your business listing.

    If you have additional questions about the Elixir Fund Registry please contact Meg McQuarrie at (800) 494-9228 or via email at meg@elixirfund.org.