Application Form

Registered Business Name

Trade Name

Registered Address

Email Address

Years in Business

Date established

Contact Number

Company/Product and Services Description

Form of Business

Single Proprietorship

Corporation

Are you BCCI Member?

Yes

Other Platforms

Do you sell online?

Yes

Other on-line platforms you use for on-line selling

How long have you been selling on-line?

Name of Registered Owner

Active Contact Number

Present Home Address

Official Representative/s Information
(If Representative or focal person to the BUFFEX On-Line is other than the registered owner)

Representative's Name

Designation

Present Home Address

Representative's Email Address

Representative's Contact Number

I agree to the collection and processing of my data, for the purpose of signing up to Globe's Raffle draw. I understand that the collection and use of this data, which may include personal information and sensitive personal information, shall be in accordance with the Data Privacy Act of 2012 and Privacy of Globe (https://www.globe.com.ph/privacy-policy)

I would like to receive personalized communications, product and service offers, and updates about future promotions and events from Globe.

DATA PRIVACY CONSENT

I hereby acknowledge, consent and agree to BUFFEX Online's collection, use and processing of my personal information for the purpose of managing my registration to BUFFEX Online and other legitimate interests of BUFFEX Online as a professional organization.

Application Form

Other Platforms

Official Representative/s Information (If Representative or focal person to the BUFFEX On-Line is other than the registered owner)

DATA PRIVACY CONSENT

Official Representative/s Information
(If Representative or focal person to the BUFFEX On-Line is other than the registered owner)