<title>Gift Domain - Application for Account

Application for Business Account

To apply for an account, please provide the information asked below.

Your application is subject to approval by GiftDomain.

Please read the 'Terms and Conditions' carefully. The 'Terms and Conditions' are provided at the end of this form. Submitting your 'Application for a Business Account' will mean your acceptance of these 'Terms and Conditions' without any exception.

Items (Fields) with red asterisk (*) are compulsory and must be filled to submit this application.

Business Name *:

Full Business Address *:

Please provide physical (street) address of your business. Post Office Box or Mail Box addresses can not be accepted.


City/Suburb/Town/Village	ZIP/Post Code *	Country *

Business E-mail *:

Business Tel *:


Area Code *	Telephone No *

Business FAX:

Business' Bank Name *:

Name of the Chief Executive Officer *:

Name of the (Usual) Contact Person *:

Telephone of the Contact Person *:


Area Code *	Telephone No *

Email of the Contact Person *:

Terms and Conditions for a Business Account:

This application is subject to approval by GiftDomain.
Payments will be required within 14 days from the invoice date.
All the terms and conditions laid in the 'Terms and Conditions of Purchase' are part of this 'Terms and Conditions for a Business Account'. 'Terms and Conditions of Purchase' can be viewed by clicking 'Terms and Conditions of Purchase' button at the home page of GiftDomain's web site (www.giftdomain.com).
This agreement is governed by and shall be construed in accordance with the laws of the State of New South Wales, Australia and the parties submit to jurisdiction of the courts of that State.

I have read the Terms and Conditions laid above and agree to it.

Name of the person filling this form *		This form should be submitted by an Executive level person or his/her delegate
Position *
Email *

Signature of the Authorized Person: ____________________________________ Date: ______________

After Completing, this form needs to be printed, signed by an authorized person and mailed to Abid Gordon, 12 Hendy Ave, Panania NSW 2213, Australia, or faxed to (02)97731513.

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