Corporate Gift Card Request Form

CORPORATE GIFT CARD REQUEST FORM
Please complete the following details. Details are provided to our supplier Waivpay Ltd. Waivpay Ltd will provide a Tax Invoice and once payment has been received Caneland Central will process your cards and contact you to collect your Gift Cards. Company Details:
Company Name*
Trading as
ABN*
Contact Person*
Street Address
State
Postcode
Postal Address
State
Postcode
Telephone Number*
E mail Address*
example@example.com
Please list the quantity of gift cards required for below denominations: N.B $3.00 administration fee per card.*
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$20 Gift Card
$23.00AUD Quantity
Item subtotal:$0.00AUD



$30 Gift Card
$33.00AUD Quantity
Item subtotal:$0.00AUD



$40 Gift Card
$43.00AUD Quantity
Item subtotal:$0.00AUD



$50 Gift Card
$53.00AUD Quantity
Item subtotal:$0.00AUD



$100 Gift Card
$103.00AUD Quantity
Item subtotal:$0.00AUD



$150 Gift Card
$153.00AUD Quantity
Item subtotal:$0.00AUD



$200 Gift Card
$203.00AUD Quantity
Item subtotal:$0.00AUD



$250 Gift Card
$253.00AUD Quantity
Item subtotal:$0.00AUD



$500 Gift Card
$503.00AUD Quantity
Item subtotal:$0.00AUD



Total

$0.00AUD
N.B. The next page is for the centre use only

Centre Use Only