Search

• 
  The eligibility age for applying for an ACT Seniors Card is 62 years.
  However, the ACT Government has announced that from July 2020 the eligibility age will be lowered to 60.
  See our Eligibility page for full details of this change.
• 
• 
• 
• 
• 
• 
• 

ACT Seniors Card Discount Directory Business Application Form

Business Details to be published in listing

Legal entity name

Invalid Input

ACN or ABN

Invalid Input

Trading Name for publishing(*)

Invalid Input

Licence No. if applicable

Invalid Input

Contact email for publishing

Invalid Input

Contact phone for publishing

Invalid Input

Street Address

Invalid Input

Business category(s)
- hold cmd or alt key to select multiple(*)

Aged and Disability Support ServicesAged Care ResidencesAutomotive ServicesBook KeepingCafes and RestaurantsCar HireCategoryClubsCommunity EducationComputers and Computer SupportCrafts and HobbiesCurtains and BlindsDentalDry Cleaners and LaundromatsElectrical ServicesEntertainmentFinancial ServicesFloristsFood Delivery ServicesFuneral DirectorsHair and BeautyHealth and FitnessHearing ServicesHire and Rental Household GoodsHome HelpHome Maintenance and SuppliesHousesittingInformationInsuranceInterstate AccommodationLegalLocksmithsMedical ServicesMobilityOptometristsOrganising and DeclutteringPest ControlPet CarePharmacyPhysiotherapyPlumbing and GasfittingReal EstateRecreation and LeisureRetailRetirement VillagesTourist AttractionsTravelVetsWaste Management/RecyclingWellbeing--Other Invalid Input

Suggested other category

Invalid Input

Proposed discount or value-added offer(*)

Invalid Input

Please note that participation in the ACT Seniors Card Program automatically involves offering the same discounts to interstate Seniors Card holders and NZ Gold Card holders.

Are multiple outlets participating?

No Yes Invalid Input

Outlet names and addresses

Name / Street address / Suburb / Phone Invalid Input

Listing Type

Listing type(*)

Text entry only (FREE) Text entry with logo ($250 p.a.)Text entry with online banner for 3 months ($750)Text entry with online banner for 12 months ($2,500) Invalid Input

Choose logo file to upload

Invalid Input

Banner art upload

Invalid Input

Administrative contact for COTA

Contact name for admin(*)

Invalid Input

Contact phone for admin(*)

Invalid Input

Contact email for admin(*)

Invalid Input

Seniors Card promotional material required

Adhesive window decalCounter stand Invalid Input

International Cards

Is the offer available to all International Seniors Card holders?

Yes No Invalid Input

Submit your application

(*)

Invalid Input

Submit Application Reset

© 2020 COTA ACT Site developed by Praxis Creative Art, Canberra