Payment details (NZ)

Restaurant Name: (in full please) *

Legal Business Name *

Your Name: *

Your email address

Your Mobile Number

Name on the card

Card number (this field is encrypted for security)

Your credit card will only be processed after we have all your information. We do not send your card details by email, they are encryped within this form. The only person who can get access to it is our own EatoutMarketing admin. Once we have setup your account we will delete this form.

Expiry date on card (this field is encrypted for security)

Name of your Bank Account

Bank Account Number

Bank name

Bank branch and town/city

Online Access Authorisation

I hereby give EatoutMarketing the right to act on my behalf as my online content manager for the venue(s) listed below. I thereby give EatoutMarketing the full right to access, update and maintain my listing promotions on the websites below.

I will honour any special offer/promotion(s) that is published on my behalf by EatoutMarketing on my venue listing on the sites below. Please be aware that customers may bring in vouchers from these sites as proof of a special, or may just quote the site and the special.

Websites:
www.eatout.co.nz - Eatout Restaurant Guide
www.zomato.com - Zomato (formally MenuMania)
www.restaurantfinder.msn.co.nz - Restaurant Finder
www.menulog.co.nz - Menulog
www.menus.co.nz - Menus
www.finda.co.nz - Finda
www.dineout.co.nz - Dine Out
www.menufeast.co.nz - MenuFeast
www.foursquare.com - Foursquare
www.tripadvisor.com - TripAdvisor

Wufoo

Online Access Authorisation