ACT Seniors Card Discount Directory

Business Application Form

Legal entity name

ACN or ABN

Trading name *

Licence no.

Multiple outlets participating

Website

Facebook

Instagram

Business category *

Select one or more.

Discount or special offer for card holders *

Note: Participation automatically includes interstate Seniors Card holders and NZ Gold Card holders.

0/80

Text entry only (FREE) Text entry with logo ($250 p.a.) Banner 3 months ($1500) Banner 12 months ($5000)

Contact name *

Phone *

Email *

Promotional materials wanted?

Window decal Counter stand

By submitting this application, you agree to the ACT Seniors Card Terms and Conditions. You may also download a PDF copy of these Terms and conditions here.