Want to know more?

This form is for referrers to complete when referring a new merchant
Once this form is completed and submitted either Aaran or Dempsey will contact the merchant, present and answer any questions and then advise you when we can proceeed with registration.
Please ensure they are a valid mechant that will add value to the Qoin community and have a projected turnover exceeding 100k.
To be approved your referral must be an AUSTRALIAN BUSINESS WITH A VALID ABN. They must also have either goods or services to offer the Qoin Community and be willing to accept Qoin as payment.
IMPORTANT : Merchant has a valid ABN ?*
YES - Fantastic - Lets ProceedNO - Unfortunately you will not be able to proceed
IMPORTANT : Your referred merchant has products or a service to offer & willing to to accept as an additional form of payment
YES - Fantastic - Lets ProceedNO - Unfortunately you will not be able to proceed
Referring Company: DSA
Referrers Name*
Referrers Phone Number*
Referrers email*
Merchant email address for USERNAME *
Email
TEMPORARY PASSWORD * Please ensure you advise merchant to use this password during registration so we can fix anything if needed.
Once the listing is finalised please reset your password
Business Listing details
We will require the following information to create a directory business listing. Please COMPLETE and SUBMIT.
Business Listing Name *
Business ABN *
Listing Contact Name *
First & Last Name
Listing Email*
Listing Phone Number *
Business Description * Minimum 50 words
Listing Address - Can be Full address or Suburb only
Street Address
Street Address Line 2
CityState
Post Code
What product or service is the Merchant offering on Qoin.
Be specific ie. what days/what products/what services are you offering on Qoin
Tagline
Hours of Operation
Set Hours/ By Appointment/ Open All Day / Closed
Business Website
Name or N/A
Business Facebook Page Address
Name or N/A
Business Instagram Page address
Name or N/A
Please Note
If a Merchant has no website or social media its unlikely they will be accepted as a Qoin merchant
Display Image*
Browse Files
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Cover Image*
Browse Files
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Gallery Image*
Browse Files
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Thank you for providing the above information for your referral.
Once we have presented to the merchant we will contact you so you can assist your referral if necessary with the downloading the Qoin app, registering as a merchant and completeing their listing.
If you have any questions at all, please feel free to call
Aaran Randall 0404 308 642, Dempsey 0402 211 490
or email aaran.randall@qoin.world, dempsey.nutley@qoin.world

Welcome to Qoin
Website: https://qoin.world/
Directory: https://shop.qoin.world/explore/
Should be Empty:

Referring Company: DSA