Premium Partner Registration Form

Please complete the form below to register your business as part of our premium partner program.

"*" indicates required fields

Contact Name*
Business Address

Website Account Set-up

Please complete the following information to enable a smooth account set-up. Once you have submitted this form, you will be able to log into our website and set-up your FREE business profile and order your Premium Partner Pack. We will also be able to use the below information to help with your social media promotion.
Account Password*
Max. file size: 256 MB.

Banking Details

Please complete the banking details so we can have your correct details on file to allow prompt payment of the 5% referral rebate.