Please fax or post this form back to:
42 Ross St
Toorak VIC 3142
Fax: 1300 232 784 

Alternately you can email an offer to partners@infiniterewards.com.au

Your Full Name:
Company Name:
Address:
Phone:		Mobile:
Email Address:
Please list the goods or services provided by your business and what kind of discount, bonus or saving you can offer our Customers:

If we can be of any further assistance, please feel free to contact us at any time.
You incur no obligation by completing this form - we will write to you to confirm the offer you are making to customers.