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If you require any assistance, please contact us on 1800 723 327 or [email protected]

  1. 1. BUSINESS DETAILS
  2. 2. ACCOUNT DETAILS
  3. 3. MERCHANT/BUSINESS INFORMATION
  4. 4. CONTACT DETAILS
  5. 5. OTHER INFORMATION REQUIRED

BUSINESS DETAILS














Online Merchant Facility


Settlement Account Details*

(This is where the money goes prior to moving into your business bank account.)



Billing Account*

(This is your preferred business bank account)


Merchant/Business Information

(Existing Merchants please provide copies of at least 3 months merchant statements.
New merchants, if actual figures are not available, please provide your most accurate estimate)



* Mail Order/Telephone Order
* Prepayments


Contact Information



Director/Proprietor Signatory

(If applicable, please indicate more than one)




Director/Proprietor Signatory 2

(If applicable, please indicate more than one)




Director/Proprietor Signatory 3

(If applicable, please indicate more than one)




Director/Proprietor Signatory 4

(If applicable, please indicate more than one)




Other informations

* Do you wish to offer cash out?

* Will you be accepting AMEX?

* Will you be accepting Diners?

* Will you be accepting CUP?

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