Gift Card Seller Agreement

Business Name

Contact Person Full Name

First NameLast Name

Business Email Address

example@example.com

Business Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Business Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Business Website (if applicable)

Type of Business

Gift Card Types Offered

Other

Gift Card Denominations Available (select all that apply)

Gift Card Fulfillment Method

Gift Card Redemption Policy (briefly describe how cards can be redeemed at your business)

Special Instructions or Notes (optional)

Authorized Signature