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Partner Booking System - Siteminder

BUSINESS DETAILS:

Full legal and name of Company, Partnership or Business Proprietor (including trust name if acting as trustee): *

Business Trading Name (if different from above): *

Street Address 1 *
Street Address 2
City *
State *
Postal Code *

Tourism Region:

ABN: *

First Name *
Last Name *

Position/Title

Daytime Phone *

Fax:

Mobile

Website:

Email for all Tax Invoices/System Correspondence: *

Email for all other correspondence: *

ROOM TYPE INFORMATION

SiteMinder requires some content to be collected manually. Please list 5 rooms types on the form below that you want to sell on the TXA as they appear in your SiteMinder Room manager page.

Room Type name as it appears in SiteMinder Room Manager	Number of Adults included in price	Number of Children included in price	Extra Person rate	Maximum Capacity

* Failure to provide this room type information may result in the SiteMinder team not being able to process your TXA application.

ADDITIONAL INFORMATION:

Please provide the following additional information in the spaces provided, which will be used for the set up of your Account.

Business Description (Please provide a detailed description of your business) *

Booking Terms (the terms under which a customer can place an online booking, detailing any cancellation fees that may apply) *

Conditions of Use (E.g. No Pets allowed, No smoking in the rooms) *

Tax Invoice Message (E.g. Thank you for staying with us) *

IMPORTANT INFORMATION

1. I have read and accepted the External Product Provider Agreement and the End User License Agreement.

2. Complete and execute Direct Debit Request and Payment Approval (V-Pay) Form, complete the IntegraPay application. By completing and executing the Direct Debit Authority and Payment Approval (V-Pay) form you authorise direct debit of the following payments, which are described in more detail in your External Product Provider Agreement:

Combined Booking Fee of 2.8% on the total Online Booking value at the time of Online Booking.
Transaction Fee of 99 cents per Online Booking
Distribution Fee at the Distributor Rate as agreed by you when you opt into a Distributor
Repayment by you of any over-payments.

3. You must connect to TXA via Siteminder, please contact Siteminder directly for details.

ACCEPTED BY DULY AUTHORISED SIGNATORY

Name: *

Date (DD-MON-YYYY): *