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Panther PERQs Application

Business Name:
Business Contact:
Position:
Please
Add or
Remove
my organization to the GSU Panther PERQs program.
Street Address:
City:
State: Zip Code:
Phone Number:
Email Address:
Discount Offered:
Discount Restrictions:
Business Classification:

Automotive/Transportation
Banking/Financial
Book/Media
Car Rental
Clothing/Shoe Repair
Computers
Entertainment
Family/Educational Services
Finance
Health & Fitness
Home/Real Estate
Hotel
Legal/Insurance
Restaurants
Miscellaneous
Wireless/Voice and DataServices
Vacation/Travel

Other (please Describe)

Business Official Name:

Thank You!


Georgia State University and Panther PERQs business partners have the right to discontinue the partnership at anytime. This application does not constitute acceptance into the program nor does it constitute the endorsement of your organization or product by Georgia State University.

If you have any questions, please contact Panther PERQs staff.

You can also download the application, and mail or fax it to:

Employee Relations
P.O. Box 3983
Atlanta, GA 30302-3983
Tel: (404) 413-2567
Fax:404-413-2560
employeerelations@gsu.edu

Prospective Employees
New Employees
Current Employees
Manager and Supervisors
Former Employees
Retirees
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