Registered Member Application

To become a Registered Member of GoldTeam, please provide the details required below. * denotes compulsary fields.

Company Name (If Applicable)
Trading Name *
Closest Town/City * (Area where your business in based)
Registered As
 

Points Recipient
Firstname *
Surname *
Date Of Birth
(dd/mm/yyyy)
For ID purposes when you pick up Rewards
Postal Address *
*
Post Code
Find it here
Email *
Phone *
Mobile
Fax
 

Applicant
Complete the fields below if you are not the Points Recipient
Name
Position and/or Company
Email
I have read the Terms & Conditions , Privacy Policy and the Terms Of Use and agree to become a Registered Member with The GoldTeam Ltd and The GoldTeam rewards programme.
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© The GoldTeam Limited, 23 August 2008