I am an authorized agent, owner or employee of the above Business and Acknowledge that I have the authority to enter into a participation agreement with Alpha Links and, to the best of my knowledge, all information provided is correct. If Alpha Links should discover that the information provided is not correct, Alpha Links has the right to cancel or amend our participation in any and all programs. Alpha Links will not issue checks to member if the amount is less than thirty dollars ($50.00). PLEASE NOTE: Your rebate check(s) may be issued quarterly, semi-annually or annually depending on your participation.

I acknowledge that any current programs we desire to continue through a direct relationship have been disclosed, and I understand that we will not be allowed to participate in the Alpha Links program as it pertains to those manufacturers. Further, if it is discovered that a program exists that was not disclosed above, we authorize Alpha Links to allow us to remain on the Alpha Links program and will cancel said direct agreements within 5 business days. I agree that in the event of non-disclosure of any direct manufacturer programs that result in a 'double-dip' situation, reconciliation may occur.

By signing this form, I authorize the above distributor(s) to provide regular, timely reporting of purchase transaction data for our locations to Alpha Links for the purpose of price deviations, rebate tracking and volume allowance opportunity analysis. I understand that at times, Alpha Links may engage third party processors in order to maximize my rebates and savings I agree to and acknowledge that Alpha Links will receive financial consideration for the administration of this program from certain program providers based on my participation.

I hereby agree on my own behalf and/or as an authorized agent of member, to hold Alpha Links, its affiliates, and their respective successors and assigns harmless from any and all claims, suits, causes of action, which may be asserted against them and any judgments, damages, or losses arising either directly or indirectly from my membership in Alpha Links and/or receipt of benefits as a member thereof. Termination of membership will be effective upon thirty (60) days' written noticed from member. All rebates will expire as of the written notice date.