If you have any difficulties with this form, please e-mail or fax us instead: ideasbank@AOI.com.au
If you wish, review Pros and Cons of Red-Memon Purchase here.
Registering a slot purchase is not automatic. Applications will be processed strictly in order of receipt and may take up to a week or more to show up on the website. Applications can be paid for by credit card or by electronic transfer to a United States bank account.
Please complete the form below. Fields marked '*' are required for successful submission. Received applications will be acknowledged by e-mail, slot purchase receipts will be forwarded by e-mail or fax as preferred.
*Name: Organization: *Mail Address: *Email: Phone: Fax:
*Memon reference number (eg 4321): Memon title: Memon Class: RED
*Do you understand that you will be required to complete a Non-Disclosure Agreement? Yes No (An NDA can extend to 1, 2, or 3 persons, each jointly and severally liable).
*Do you understand that you will be required to complete an IdeasBank Development Agreement? Yes No
*Cost of Non-refundable Deposit on Slot Purchase (United States dollars) USD: (The non-refundable deposit is equal to half the total red-memon slot price. Currently the deposit required is US$5000).
Orders may be paid by charging to your Mastercard, Visa, Diners, Amex, or Bankcard account or by transfer to a US bank account. Please indicate:
After payment has been cleared, would you like your receipt sent by e-mail or fax? E-mail Fax.
Details all checked? Click here to despatch your order: . or you can click here to --- and thank you.