Business Join Form "*" indicates required fields Step 1 of 6 16% Entity Type*SelectCompanySole TraderPartnershipTrustSponsor’s legal name* Business name (if different) Trust name (if any) Name of Business owner* First Last Email* Phone Number*ABN / ACN Postal address Street Address City State / Province / Region ZIP / Postal Code Industry Description of Business Payment Option*** At this time the only available payment option is Invoice / EFT however direct debit will be an available option soon. Invoice / Electronic Funds Transfer (EFT) Merchant ID / Terminal NumberTerminal 1 Terminal 2 Terminal 3 ***Please note that you can find any merchant ID number on any VISA/Mastercard receipt Sponsorship Amount (%)Please enter a number less than or equal to 100.plus 2% Admin & Marketing FeeAdmin & Marketing Fee: 2%Are you wanting to become an Exclusive Sponsor Yes No Name of Group you wish to Sponsor Exclusively Acknowledgement and Execution Please note that this Account Application will not be accepted unless and until the Sponsorship % and the Admin & Marketing Fee % have been completed. The Contribution % refers to the percentage of all Eligible Purchases that will be paid to the Groups that we partner with. The Admin & Marketing Fee % is the fee paid and retained by us in respect of the Marketing Services we provided under the Agreement. This is the Account Application for Sponsors (i.e. businesses who wish to make Contributions to Groups). If you are a Group that wishes to receive Contributions, please request the Account Application for Groups. If the Sponsor is a company, this document must be signed in accordance with s127 of the Corporations Act 2001 (Cth). If the Sponsor is a partnership, at least two partners must sign. This application will only be considered if all items are completed or marked ‘Not Applicable’. By providing iSponsor Australia Pty Ltd (we, us or our) with this Account Application, the Sponsor named above and/or any person who signs this Account Application on behalf of the Sponsor agree, declare and acknowledge that: capitalised expressions used in this Account Application have the meanings given to them in our Sponsor Terms & Conditions (T&Cs) in place from time to time, which are currently available at https://isponsorapp.wpengine.com or otherwise on request;/li> this Account Application is a material part of the Agreement (as defined in the T&Cs) and the Sponsors named in this Account Application and the person signing on its behalf have read, understood and agreed to be bound by the T&Cs and the Agreement; each person signing this Account Application has authority to bind the Sponsor in respect of all dealings with us from time to time; and the information set out in this Account Application is true and correct and we will be relying upon the information provided in assessing whether to accept this Account Application and engage with the Sponsor. Executed by or on behalf of the Sponsor in accordance with s127 of the Corporations Act (if applicable): SignatureName Position Witness signatureWitnessed by Date DD slash MM slash YYYY SignatureName Position Witness signatureWitnessed by Date DD slash MM slash YYYY Please submit this Application Form along with the following documents to Business LogoPreferably .PNG format and high resolution [300ppi or above] Drop files here or Select files Accepted file types: jpg, gif, png, jpeg, Max. file size: 20 MB, Max. files: 5. Photo ID of Business Owner (e.g. driver’s licence) Drop files here or Select files Accepted file types: jpg, gif, png, jpeg, Max. file size: 20 MB, Max. files: 5. Provide a receipt copy so we can confirm the MID with Mastercard and VisaMax. file size: 20 MB.Trust Deed (if business is a trustee) Drop files here or Select files Max. file size: 20 MB, Max. files: 5.
