Business to Business Form Your Business Name * Name of Business You Visited * Date * ❰January 2025❱SuMoTuWeThFrSa❰2025❱❰2020-2029❱2930311234567891011121314151617181920212223242526272829303112345678JanFebMarAprMayJunJulAugSepOctNovDec201920202021202220232024202520262027202820292030 Format: M/d/yyyy Amount of Money Spent * Please tell us how much you spent at a member business. Is this an ongoing commitment? * Yes No