Primary Contact Details

First Name *

Last Name *

Position

Business Owner

Company Director

Business Manager

Marketing Manager

Phone Number *

Email Address *

Company Information

Legal Business Name *

Business Trading Name *

Business ABN

Primary Business Location *

Business Structure *

Single Location

Multiple Locations - State Based

Multiple Locations - Nationally Based

Franchise - Primary Corporation

Franchise Owner

Business type

Design your offer to be promoted on the Firefly Marketplace (App)

Please briefly describe the goods and services you will be promoting on the Marketplace *

How would you like to structure your offer? *

Example of how to structure your offer. $25 voucher when spending $100 instore.

Artwork

Please upload company/business logo *

Image files should be PNG or JPEG and should be high resolution

Please upload company/business font file *

Please upload TTF (True Type Fonts)

Account Transaction Details

Please provide transaction options for the settlement of customer redeemed vouchers.

preferred payment type

Direct Debit via BSB & Account Number

Debit from Credit Card/Visa Debit Card

Direct Payment on Invoice

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.