Dine Around Request Form

Return this completed Request Form with a self-addressed, postage paid envelope and US$2.95 handling fee, US Postal Money order only, to Trips Incentives Corp., 160 S.W. 12th Avenue, Suite 101A, Deerfield Beach, FL 33442 in order to receive your dining certificate.

Name:  _____________________________________________________________

Address: ____________________________________________________________

City, State, Zip: _______________________________________________________

Primary Phone: _______________________________________________________

Secondary Phone: _____________________________________________________

Email Address: _______________________________________________________


Terms and Conditions

  1. This mail-in offer provides up to four dining certificates of US$25.00 each. This offer is invalid where prohibited by law, if used in conjunction with or in place of any other promotional offer or discount. All federal, state and local laws apply. TRIPS INCENTIVES CORP. assumes no responsibility for any verbal or written representations made in conjunction with this offer other than those specifically included in this offer, nor for any damage, expense, inconvenience, loss, injury, death, delay, mechanical breakdown, strike, act of God, or any other circumstances beyond its control. Trips Incentives Corp. reserves the right to substitute the components of the offer should circumstances so require.

  2. This offer is valid for ninety days from date of travel and all  requests must be received by Trips Incentives Corp. within that time. A minimum of 15 days is required between each request for your $25 dining certificates.  By submitting the attached Request Form to TRIPS INCENTIVES CORP., the user consents to be bound by all the terms and conditions contained within the offer. Trips Incentives Corp. reserves the right to change these terms and conditions without notice.