Partner Program Application Form - Market America

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By executing this agreement, Merchant agrees to all terms contained. Affiliate is required to pay a one-time Set up and
51 Cuppage Road, #08-03/06 S229469 Email: [email protected] Tel: 65682668 Fax: 68362661 UEN: 201402901M

Partner Program Application Form (Please tick one)

 Online  Offline (ShopLocal)

MASG Reference Number: For Official Use Only

Company Name:

Company Registration No.:

Store Name:

Merchandise Description:

Store Address:

(

Store Telephone:

Mobile :

E-mail Address:

Website URL:

Referral Name (if any):

UFO ID (if any):

)

Commission Rate (Payable within 30 days of invoice date)  5% Commission  10% Commission  15% Commission  20 % Commission  ____% Commission Applicant’s Comments (if Any): For Offline (Shop Local) Partner Application Only Merchant ID :

Credit Card Terminal ID For Online Partner Application Only

E-commerce Platform:

Magento | WooCommerce | Shopify | Prestashop | Others : _________________

Payment Gateway:

Paypal | Nets | Master | Visa | Others : _______________________

Market Singapore Partner Application Form and the Terms and Conditions constitute the full understanding of the parties with respect to commissions owed to Marchant for Link Sales (as that term is defined in the Terms and Conditions). By executing this agreement, Merchant agrees to all terms contained. Affiliate is required to pay a one-time Set up and Marketing fee that is nonrefundable in the amount of S$100.00 Plus 7% GST to MASG upon entering this Agreement. Payments shall be received by MASG within 7 days of application date. 1) Cheque – Payable to “ Market_Singapore Pte Ltd “ 2) Bank Transfer – Email [email protected] for bank details.  I agree to the Terms and Conditions.(http://www.shopmarketplacenetwork.com/advertiser_terms#singapore)

Name

: ___________________________

Signature

: ___________________________

Title

: ___________________________

Company Stamp : ___________________________

Date

: ___________________________

FOR OFFICE USE ONLY Document Received and Verified by

Date:

Approved by:

Date:

Payment Received by:

Date:

Processed & Listed by:

Date:

Advertiser ID:

Offer ID:

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