Member Application Form
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Add New Brand
Brand Name
Brand Website
Brand Logo
Logo size: 3:2 aspect ratio
File size: Less than 100KB (preferably <50KB)
Accepted extensions: JPEG/PNG
Preferred dimensions to be set within: 160 (width) x 107 (height)
Outlets
All Outlets Participating
All Outlets Participating except for the following Outlets (please upload list of non-participating outlets)
Maximum file size is 50KB. Accepted extensions: .XLSX/XLS/CSV
Download Template
No of Outlets Participating
Types of Cashier Terminal
(Check one or more options)
with internet
without internet
PC/Laptop with Internet
Smart device with internet (read QR and barcodes)
3D Barcode scanner (reads EAN 13)
Product / Service Category
Select Industry Type
Convenience Stores & Supermarkets
Fitness & Wellness
Food & Beverage
Lifestyle & Retail
Online Retail & Travel
Services
Brand Contact Person
Same as previous Brand
Name
Designation
Contact No.
Email Address
Email address must be unique to every brand.
Business Information
Organisation Name
Full legal company name
Organisation Website
e.g.
www.example.com
or
http://www.example.com
Organisation Office Address
Address
Postal Code
Participating Merchant Brands
Add New Brand
Brand Name (as per store signboard)
Category
* If you are a retailer and have many brands under one store, please create only the brand name as per your store signboard.
HPB Partnership
Are you a past or existing HPB Campaign or Programme Partner?
Yes
No
Type of Programme
(Check one or more options)
National Steps Challenge
Healthy Lifestyle Festival
Eat.Drink.Shop.Healthy Campaign
Others
Credit/Payment Terms
30 Days
Terms & Conditions
Yes, I have read and accepted the
Terms of Use
and the
Voucher Management Guidelines
.
*Please read through the documents. Box will be automatically checked after the terms and guidelines have been accepted.
Submit
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