Your proposed exclusive discount or value-added offer will appear in the Foster and Kinship Carer Card Business Discount Directory free of charge and will feature these details. Please be aware you are in a very competitive environment and your offer should be enticing to increase your market share.

Trading name:*

Discount offer:*

(Maximum characters: 57)
You have characters left.

Suburb:

Street address:

Postcode:

Phone number:*

Type of business:*
(for example plumber, butcher, restaurant)

ACN/BN:
or Registered Business Number (ABNs not accepted)

Registered business name*

Postal address:

Website URL:

These details are for Foster and Kinship Carer Card internal use only and are not published.

Title (Mr/Mrs/Ms):*

First name:*

Last name:*

Position title:

Telephone:

Facsimile:

Mobile:

Email:

Please provide details as per below if you have more than one business outlet. If you have more than four outlets please email those details to Foster and Kinship Carer Card - fostercarercard@childsafety.qld.gov.au once you have submitted this form.

Read the full terms and conditions.

Privacy notice

Our department is collecting the personal information on this form so it can administer the Foster and Kinship Carer Card Business Discount Scheme. If you do not provide this information, we may not be able to process your application. The Department may give some or all of this personal information to the Office of Fair Trading to assist with the assessment of your application. We may also include some or all of this personal information, for promotional purposes, in the Business Discount Directory, in a database that can be accessed via the internet, and may also give it to a cardholder in response to a query.

I have read the above terms and conditions and I am authorised to enter this agreement.*

Applicant name:*

Position:*

Date:*

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DD

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MM

YYYY