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Application form
The eligibility age for applying for an
ACT Seniors Card is 60 years.
Click here to go to the application form.
ACT Seniors Card Discount Directory Business Application Form
Business Details to be published in listing
Legal entity name
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ACN or ABN
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Trading Name for publishing
(*)
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Licence No. if applicable
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Contact email for publishing
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Contact phone for publishing
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Street Address
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Business category(s)
- hold cmd or alt key to select multiple
(*)
Aged and Disability Support Services
Aged Care Residences
Automotive Services
Book Keeping
Cafes and Restaurants
Car Hire
Category
Clubs
Community Education
Computers and Computer Support
Crafts and Hobbies
Curtains and Blinds
Dental
Dry Cleaners and Laundromats
Electrical Services
Entertainment
Financial Services
Florists
Food Delivery Services
Funeral Directors
Hair and Beauty
Health and Fitness
Hearing Services
Hire and Rental Household Goods
Home Help
Home Maintenance and Supplies
Housesitting
Information
Insurance
Interstate Accommodation
Legal
Locksmiths
Medical Services
Mobility
Optometrists
Organising and Decluttering
Pest Control
Pet Care
Pharmacy
Physiotherapy
Plumbing and Gasfitting
Real Estate
Recreation and Leisure
Retail
Retirement Villages
Tourist Attractions
Travel
Vets
Waste Management/Recycling
Wellbeing
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Other
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Suggested other category
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Proposed discount or value-added offer
(*)
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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
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Outlet names and addresses
Name / Street address / Suburb / Phone
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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)
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Choose logo file to upload
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Banner art upload
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Administrative contact for COTA
Contact name for admin
(*)
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Contact phone for admin
(*)
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Contact email for admin
(*)
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Seniors Card promotional material required
Adhesive window decal
Counter stand
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International Cards
Is the offer available to all International Seniors Card holders?
Yes
No
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Submit your application
(*)
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Submit Application
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