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All about Viro Rewards
Viro Shopping Directory
Register to join the
Viro Merchant Community
Business Details
*denotes mandatory field
*Business Name:
Trading As:
*Proprietor/s:
ABN (if available):
Business Address & Postal Address
Physical Address:
* Street No.:
* Street Name:
* Suburb:
*State:
NSW
VIC
QLD
SA
WA
TAS
NT
ACT
*Post Code:
Note: Please provide your postal address if it is different from your physical address
PO Box:
Postal Suburb:
Postal State:
NSW
VIC
QLD
SA
WA
TAS
NT
ACT
Post Code:
Contact Details
*First name:
*Surname:
*Position:
*Work Phone:
Mobile Phone:
Note: Your email address will be your login (user) name.
*Email:
*Re-Type E-mail:
Website:
Login Password
Note: This password needs to be at least six characters in length and must be made up of letters or numbers.
*Password:
*Re-Type Password:
Merchant Details
*How did you hear about us?
Referral by member
Referral by merchant
Referral by friend or colleague
Media
Call Centre
Search Engine
Facebook
Twitter
Email
Online Advertisement
Brochure
Referred by B1G1
If you have more than one store, please indicate how many:
2
3
4
5
More than 6
Please select one of these causes to be supported through your Viro transactions.
Click here
to read more about these causes
*Cause:
Viro Community Care Fund
B1G1 Impact Giving Fund
Viro Carbon Offset Fund
Viro Eco-Projects Fund
By ticking this box I confirm that I have read the
terms and conditions
of a Membership of the Viro Rewards program and, if applicable, the Issue & Use of a Viro Visa Prepaid Card.
Name of person accepting Terms & Conditions
*Position:
Date of Acceptance:
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