Fill out this form to submit a coupon code

Before you begin.. confirm the following:
All fields must be checked or the form will not process. DO NOT submit affiliate codes! * Check this box to confirm that you are not submitting an affiliate link or code Check this box to confirm that store currency is U.S. dollar Check this box to confirm that the offer you are submitting expires in 30 or more days
Is this a special holiday code? * Yes No
Your Name * First Last
Your email - must match the domain name. If it doesn't don't submit a code here. (EX: if you are submitting a code for your shop with the URL www.sallysbabyshop.com, the email address must be something like yourname@sallysbabyshops.com) *
Choose one *
About your store
Store Name: *

Do not enter a website URL here.
Store website address:
Store description (2 sentences, up to 30 words) *
About the coupon code
Coupon offer *

EX: 20% + free shipping. If you are submitting a sale, enter details of the sale here.
Code (use INSIDER, MOMMYINSIDER please) No affiliate codes! *

Required if submitting a coupon offer
Coupon code expiration date Must be at least 30 days from today * / MM / DD YYYY
Brands - List up to 5 brands you would like your coupon or sale listed in. (you can enter brands we don't already have listed) *

If you are a designer or only sell one brand, enter your brand name here.
Categories - List up to 3 categories you would like your coupon or sale listed in. (you can enter categories we don't already have listed) *

Include at least one of our current categories. You may add category names other than what we already have on Mommy Codes. We may add the category you suggest.
Special coupon instructions

EX: Tell our readers if there are brand or cost restrictions.
Extras for those submitting an exclusive offer/coupon code
If you are submitting an exclusive offer we will publish your logo and 1 product image with your listing.
Is this offer higher and more valuable than any you are currently offering online? * Yes - we are not offering a code as valuable as this one anywhere else. - We check! ;) No
We will feature your offer at the top of the page and put your logo in your offer listing.
Reciprocal URL - if this is not an exclusive code

On what page of your site do you have a link to TheMommyInsider.com and/or MommyCodes.com?
Upload your logo (for exclusive offers only)
Upload 1 product image (for exclusive offers only)

If you are offering an exclusive
Have you submitted a product for review on TheMommyInsider.com? If yes, your coupon or sale listing will include your logo * Yes No I'm filling out that form (link opens a new window) next
If yes, your coupon code listing will include your logo even if it's not an exclusive code.
Have you sponsored a giveaway on TheMommyInsider.com? If yes, your coupon or sale listing will include your logo and/or a product image * Yes No I'm filling that form (link opens a new window) out next
Comments or Questions
What is 63-4?
We need to be sure that you are not a spam robot trying to submit this form. *

Fill out this form to submit a coupon code

Fill out this form to submit a coupon code

Before you begin.. confirm the following:

About your store

About the coupon code

Extras for those submitting an exclusive offer/coupon code