IRO Program Sign Up
Please fill form and click Submit. Fields marked ** are required.

I am signing up as a Company an Individual (Select One)

**Name.. Salutation.. Sex

Name of Company .

Designation.**I/C or Business Reg. No.
**Address ........Singapore Postal Code.

**Tel No .. Hphone .. Fax No ..

**Email Address.  BirthDate (Individual)

Name of Account Payee that commission cheque is made out to

Mode of cheque delivery By post self collection (please indicate)

..Website.(if any)

 

A little info about your company or yourself, please.

Any Special Area of of Interest
Motorcars

Motorbikes

Household

Refurbish Centre

Customizing of Gift Items

Others (Please specify)

Please note that there is an one time administrative fee of S$20
(This is charged only when application is approved))
Payment by Visa Mastercard Amex BankDraft/Cheque Cash

Name on Card

Credit Card No :

Expiry Date ( mth year )
By clicking "Submit", We/I express agreement to sign up as an Independant Referrer Outlet of GoldNatural by Winners Way. We understand that this application is not final and is subject to approval by your management. We/I also understand that the only promotional literature to given out about Gold Effects plating services are those that are provided by Winners Way Pte Ltd. We/I agree not to misrepresent or bind Winners Way Pte Ltd in any way except as what is agreed in this programme.