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Yorkdale High Value Transaction Form

Thank you for your interest in purchasing a Yorkdale Gift Card Plus. For orders that exceed $9,999, customers are required to complete this form. The form will be reviewed by our processing bank and must be submitted at least 3 days prior to your purchase. The person who completes the form must be the person who comes in the mall to pick up the cards.

"*" indicates required fields

Personal or Business*

Is this for Personal or Business Use?

Business

Personal

Company Name (DBA)*

Legal Name (if different from Company Name)*

Type of Industry*

Retail, Manufacturing, Entertainment, etc.

Ownership:*

Public

Private

Country of Incorporation if different from Canada:*

Business Registration Number

Business Type:*

Corporation

Partnership

Sole proprietor

List beneficial owners who own 25% or more:*

Name*

First Last

Phone*

Company Website*

Address*

Street Address Address Line 2 City Province Postal Code

(Must be a Canadian Address, PO Box not permitted, including appt. #, province, postal code)

Email*

Enter Email Confirm Email

Fill in the gift card quality and amounts below, more lines will appear as you enter the gift card amounts.

1. Number of Gift Cards*

Please enter a number from 1 to 10000.

Gift Card Amount*

Please enter a number from 10 to 2500.

Sub-Total*

2. Number of Gift Cards

Please enter a number from 1 to 10000.

Gift Card Amount

Please enter a number from 10 to 2500.

Sub-Total

3. Number of Gift Cards

Please enter a number from 1 to 10000.

Gift Card Amount

Please enter a number from 10 to 2500.

Sub-Total

4. Number of Gift Cards

Please enter a number from 1 to 10000.

Gift Card Amount

Please enter a number from 10 to 2500.

Sub-Total

5. Number of Gift Cards

Please enter a number from 1 to 10000.

Gift Card Amount

Please enter a number from 10 to 2500.

Sub-Total

Total Amount Purchased

Amount to Purchase*

Payment Method*

Credit

Debit

Certified Bank Cheque

Payment Method*

Certified Cheque

EFT

Credit Card [in-person chip and pin transactions only]

Corporate Payment Details:

Credit Card Purchases

Orders paid with credit card must be paid for in person using chip and pin. Customer picking up the cards must show photo ID that matches the name on the credit card.

Certified or Corporate Cheques

Certified or corporate cheques will be held for 7 business days before the gift card order is processed and released.

Electronic Funds Transfer (EFT) and Wire

EFT and Wire orders will be held for 7 business days before the gift card order is processed and released.

Oxford reserves the right to refuse to transact with anyone, specific care will be taken to ensure we do not transact with questionable businesses.

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Bank if paying by EFT or Wire

Purchase Reason*

Gift

Promotion

Fundraiser

Non Profit

Incentive

Other

Who will Pick up the Cards?

Name (Pickup person)

Title First Last

Phone # (Pickup person)

Email (Pickup person)

Consent*

I agree to the Oxford Properties Privacy Policy link below.

Oxford Properties Privacy Policy

Submission Date*

MM slash DD slash YYYY

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Internal Use

By signing the below approval, I acknowledge that the HVT request is complete and accurate to the best of my knowledge and all relevant documentation has been attached for final approval by InComm:

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List of Gift Cards to be issued to customer upon approval

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Guest Experience Team Member

First Last

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Payment Type:

How did the customer pay for their gift cards?

Credit Card

Debit

Certified Cheque

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Date

MM slash DD slash YYYY

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Transaction Complete

Complete

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Approval Notes

NOTE: Oxford reserves the right to refuse any transaction. If you have questions about the form or a decline please contact GiftCards@oxfordproperties.com.

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Mall

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Mall Email

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Mall Authorised User

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Support Files

Drop files here or

Max. file size: 50 MB.

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Review Checklist

Reviewed

Approved

Send for final approval

Person picking up Gift Card order

First Last

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User created by

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