Gift Card / TV Menu Order Form
Agent Name
Agent Email
example@example.com
Basic Information
Owner
*
First Name
Last Name
Cell Number
*
Email
example@example.com
WeChat
WeChat ID
Restaurant Name
*
Name
Restaurant Number
*
Restaurant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Restaurant Type:
Fast Food / Chicken Wings / Take Out
Dine-in / Full Service
Drink / Dessert
Pre-Cooked / Poke
SERVICE REQUESTED:
TV MENU
GIFT CARD
TV MENU REQUEST FORM
# of Statics (Non Moving) Screen
Choose Qty
1
2
3
4
5
6
7
8
9
10
$150.00 / Each
# of Animated (Moving) Screen
Choose Qty
1
2
3
4
5
6
7
8
9
10
$250.00 / Each
TV Menu Total
TV Resolution
4K HD
NON 4K HD
Screen Size
TV Display
*
Landscape (Horizontal)
Portrait (Vertical)
Template Choice
*
Click here to browse our template collection
Do you want to provide your own dish pictures? (please contact our staff)
Yes
No
Do you want to add animation effects to the menu?
Yes
No
Menu Upload
Browse Files
Cancel
of
Other Requirements:
Deployment Method:
Pickup from office
Email to me
Ship to me (shipping fee apply)
GIFT CARD
Terminal Type
Pax Terminal
Clover
KwickPOS
McPOS
GDC
Aldelo
Other
Gift Card Design
Standard
Custom Design
LOGO UPLOAD
Browse Files
Cancel
of
POS Gift Card Standard
10 Cards ($10.00)
25 Cards ($25.00)
50 Cards ($38.00)
100 Cards ($50.00)
150 Cards ($75.00)
300 Cards ($150.00)
500 Cards ($250.00)
Clover Gift Card Standard
100 Cards ($ 100.00)
250 Cards ($ 212.50)
500 Cards ($ 375.00)
1000 Cards ($ 650.00)
2500 Cards ($1,375.00)
5000 Cards ($ 2,500.00)
POS Gift Card Custom
500 Cards ($ 375.00)
1,000 Cards ($ 600.00)
2,000 Cards ($ 1,100.00)
3,000 Cards ($ 1,500.00)
5,000 Cards ($ 2,250.00)
10,000 Cards ($ 4,000.00)
Clover Custom Gift Card
100 Cards ($ 125.00)
250 Cards ($ 250.00)
500 Cards ($ 425.00)
1000 Cards ($ 750.00)
2500 Cards ($1,625.00)
5000 Cards ($ 2,750.00)
ZBS Gift Card Custom
100 Cards ($ 200.00)
250 Cards ($ 275.00)
500 Cards ($ 260.00)
1000 Cards ($ 370.00)
2500 Cards ($ 675.00)
5000 Cards ($1,250.00)
100 Cards w presenters ($ 250.00)
250 Cards w presenters ($ 400.00)
500 Cards w presenters ($ 500.00)
1000 Cards w presenters ($ 700.00)
2500 Cards w presenters ($ 1,200.00)
5000 Cards w presenters ($2,250.00)
Gift Card Order Total
Order Summary
TV MENU TOTAL
GIFT CARD TOTAL
Sub-Total
Sales Tax
GRAND TOTAL
Shipping Fee
Coupon Code
Discount
Grand Total
Deposit Due
Balance
Payment Info
Payment Method
CHECK
CREDIT CARD
Payment Info
prev
next
( X )
USD
Description
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Expiration Year
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Account Holder Name
First Name
Last Name
Business Name:
Billing Address (If different from business address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Bank Routing Number:
Bank Account Number:
Type of Bank Account
Personal Checking
Personal Saving
Business Checking
Business Saving
Check Upload
Browse Files
Cancel
of
Signature
*
Date
/
Month
/
Day
Year
Date
Save
Submit
Should be Empty: