Thank you for your interest in partnering with UVM to thank our education and health professional while stimulating local economic activity. Please use the form below to register for the Staycation campaign. First Name * Last Name * Email Address * Phone Number (optional) Name of the business you are representing * Business Location Street Address * City/Town * Zip Code * Description of Proposed Incentive * Provide details about the discount or package offers for UVM employees during this campaign. Restrictions * Yes No Are there certain conditions when the offer is not valid such as specific dates, time of day, or other considerations? Please describe the restrictions * Would you like to be included on the UVM Office of Engagement newsletter distribution list? Yes No Our newsletter of engagement stories is distributed once a month to highlight the connections between UVM and the Vermont community. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 1 + 3 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.