NETS Privilege Programme For Merchants

	YES, I would like to participate in the NETS Privilege Programme. I would like more information. Please contact me.

. Kindly provide us with your company details for verification purposes.

Currently, I accept the following NETS products and services:

NETS BankCard

NETS CashCard

NETS GiftCard

eNETS

My business is in the following industry(s):

Beauty & Wellness
Food & Beverage
Fashion & Accessories
Travel & Transportation
Education
Hobbies & Entertainment
Fitness & Health
If others, please specify below:

Company Name	:

Company Name (To be featured on promotional collaterals)	:

Company Mailing Address	:

Company Contact	:	(Tel) (Fax) (Website, if any)

Contact Person	:

Contact Number	:	(Office) (Mobile) (Fax) (Email)

For attachment of outlet listings	:	(in Word format)