Company/Organization*

Description of Special Offer*

offer should be available to ALL Mansfield ISD employees

Expiration Date

If no expiration, leave blank.

Is this offer an update to an existing PERKS offer?*

Yes No

Is this offer only extended to Mansfield ISD?*

Or is it also available to other companies/ISDs?

Yes No

Email Address*

Phone Number*

Web Address*

Business Address*

Mailing Address

if different from business address

Approved By:*

electronic signatures accepted