Accredited Provider Application

To join as an Accredited Provider please fill out the form below.

 


 

The first step is to carefully select all Areas covered by your business and then select all categories undertaken by your business. (Select as many Areas or Categories as required)

N.B. If your business operates separate branch offices or franchise operations in certain Areas, which handle its own separate account administration, then you’ll need to complete a separate application for each branch or location. E.g. ABC Doors Auckland, ABC Doors Wellington, etc.

Area

  





























































































  Category

  























































































































































Company Name (If Applicable)
Trading Name  
Physical Address  
 
Postal Address  
 
Postal City/Region
Post Code
Find it here
Website
 

Administration Contact Person

The person who will administer the GoldPoints returns
Firstname  
Surname  
Email  
Phone  
Fax
 

Sales Contact Person

The person responsible for sales and marketing
Firstname  
Surname  
Email  
Phone  
Fax
 

Applicant

Name  
Position  
Email  
I have read the Terms & Conditions , Privacy Statement and the Terms Of Use and agree to become a Accredited Provider with The GoldTeam Ltd and The GoldTeam rewards programme.