TRADE DEPOT GROWTH NETWORK

Affiliate info vs Marketing Efforts | Sales Affiliate / Reseller Details SECTION 1

Name

Affiliate / Reseller Code

Phone

Province / Region

Are you a:

Reseller Agent Area Manager

SECTION 2 — Product Sold Select the product(s) sold.

Products

Vendor Onboarding Supplier Onboarding DL110 Smart Stand A5 Smart Stand A4 Aluminium Snap Frame NFC Key Fobs / Keyrings Smart Poster Pack Custom QRSA Solution Other

Please give more information on your choice of 'Other'

Optional Extra Smart Connect Profile Software

Booking System rebate.) Promotions [Flip-Book Catalogue] Gamification (Once Off R999 and R150 p/m)

Optional Add-ons

Hosting Smart Connect Upgrade Sponsored Website Directory Placement

SECTION 3 — Customer | Buyer Information

Business Name:

Individual Name

Contact Person

Phone Number

Business Address

Street Address

Address Line 2

City

State / Province

Postal Code

Country

Type of Customer

Retail Store Restaurant / Café Automotive Service Business [Installer] Corporate / Enterprise Government Individual Other

Purpose of Purchase (optional)

Marketing Storefront engagement Staff identification Sales & promotions Online bookings / leads Other

SECTION 4 — Sale Details

Date of Sale

Amount Paid (or value of order)

Payment Method

EFT Card

NO CASH ALLOWED [Security | Costs]

Was payment received in full?

Yes No Deposit only

If deposit: Amount paid

Commission Category – See your Calculator

Proof of Sale (Upload Section)

Allowed: PDF, DOC, DOCX, JPG, JPEG, PNG · Max 10MB

Confirmation & Declaration I confirm the above information is accurate and that the sale was made by me as the appointed Affiliate | Reseller | Agent | Regional Manager. I understand this submission is required for commission approval.

Confirmation & Declaration

Yes, I confirm No, I do not agree If No is chosen, you need to call the TDGN office.

Terms & Conditions and Privacy Policy

I Agree