World Nomads - Application to Join the Partner Network

Account Details

Account Name *

Registered Business Name *

Website URL *

Website URL (secondary)

Please note: your registered business name should match the bank/PayPal details we will request when you reach the minimum payment threshold.

If you don't have a registered business name, please enter your full name.

Contact Details

First Name *

Last Name *

Email Address *

Phone Number

Mobile Number

Please note: your email address must be unique so can't be the same as your customer email address.

Mailing Address

Address Line 1

Address Line 2

Suburb / Town

State

Postcode

Country *

Gst Details

Do you have an ABN?

Yes No

Social Networks

Facebook

Twitter

YouTube

Terms & Conditions

You confirm you accept the Terms & Conditions

Yes No