GoProvidence Pass Participation Form

Thank you for your interest in being part of the GoProvidence Pass Hotel Package program. Hotel guests booking this package receive a $100 Visa incentive card upon arrival, which is valid only at participating Providence businesses. This exciting new promotion encourages visitors to shop, dine and enjoy other fun things to do during their stay. The GoProvidence Pass Visa cards are valid for 6 months after the start of this promotion.

Participating businesses must accept Visa credit cards. Please complete the form below to register to participate in this program.

Contact Information

Company*:

First Name*:

Last Name*:

Web URL:

Email*:

Physical Address 1*:

Physical Address 2:

Physical City*:

Physical State*:

Physical Zip Code*:

Primary Phone*:

Attestation

This program is funded, in part, through a partnership with RI Commerce. The below attestations are needed due to the source of some of the funding for this program.

By selecting "Yes" below and submitting this page, you are attesting that the below statements are true.

COVID-19 IMPACT
Applicant certifies under penalty of perjury that they have been adversely economically injured due to the COVID-19 health emergency in one or more of the following ways:

Required to close by an Executive Order.
Required to restrict operations or capacity by an Executive Order.
Was indirectly impacted by a required closure or significant restriction of a client or customer.
Experienced decreased consumer demand as a result of the pandemic.

VIABLE BUSINESS
Applicant certifies under penalty of perjury that the following are true:

Applicant is a viable business that is not permanently closed.
Applicant is not on the federal Do Not Pay list.
Applicant is not in or considering federal bankruptcy or state receivership.

Yes

* Indicates a required field.

Providence Warwick CVB

© 2022 Providence Warwick Convention & Visitors Bureau
Visitor Information Center
Rhode Island Convention Center
1 Sabin Street
Providence, RI 02903
(401) 751-1177

PWCVB Headquarters
10 Memorial Boulevard
Providence, RI 02903
(401) 456-0200