Prize Redemption

Thank you for referring business to Michigan Retailers Association! Please complete the form to request your redemption prize(s).

Questions can be directed to our Sales Team at sales@retailers.com, or at 800.366.3699, ext. 655.

First Name *

Last Name *

Email Address *

Select Your Prize

Bank Name *

Bank Branch *

Preferred Delivery Method

Shipping Address

City

State

Zip Code