Payment Gateway Sign Up

If you require any assistance, please contact us on 1800 723 327 or contact@safe2pay.com.au

1. Contact Information
2. Merchant Information
3. Merchant Facility
4. Payment Options
5. Further Information

Business Information

* Mailing Name
* Mailing Address (street)
* Mailing Address (suburb)
* Mailing Postcode
* Mailing Phone Number
Mailing Fax Number
* Web Address

* Business Trading Name
* Business Address
* Postcode
* Business Phone Number
Business Fax Number
* Company Name
* ABN/ACN Number

Contact Information

* First Name
* Last Name

* Mobile Number
* Email Address

Director/Proprietor Signatory

(If applicable, please indicate more than one)

* Full Name
* Date of Birth
* Phone Number

Director/Proprietor Signatory 2

(If applicable, please indicate more than one)

FullName
Date of Birth
Phone Number

Director/Proprietor Signatory 3

(If applicable, please indicate more than one)

Full Name
Date of Birth
Phone Number

Director/Proprietor Signatory 4

(If applicable, please indicate more than one)

Full Name
Date of Birth
Phone Number

Merchant/Business Information

* Total Yearly Turnover $ includes cash, cheques, cards, etc

* Credit Card Sales % As a % of total turnover, Do not include Amex or Diners in this calculation

Average Value per Transaction $

* Mail Order/Telephone Order Accepting payments over the phone or through the mail.

YESNO

* Prepayments Where the goods or services are not deliverd in full until after the credit card transaction is processed

YESNO

If yes, anticipated Value per week $

% of credit card sales where prepayment is made

Average Delivery Terms How many days after processing the payment are goods/services delivered?

How many days after processing the payment are goods/services delivered?

* Do you have a refund/return policy?
YESNO

* Do you have terms & conditions?
YESNO

Online Merchant Facility

Do you have an Online Merchant Facility? Safe2Pay's Payment Gateway Services requires the merchant to have an Online Merchant Facility provided by an Australia bank. If you do not have one, we can help you apply for one with Westpac.

YESNO

Settlement Account Details

* Account Name:

* BSB:

* Account Number:

* Use Settlement Account as Billing Account?

YESNO

Further Information

Brief Company History:

Hardware and/or Software installed: e.g. POS Systems, Property Management Systems, Booking Station

Do you have any other businesses?
YESNO

How did you hear about Safe2Pay?

Thank you for providing this information.
By clicking SUBMIT you agree to our Terms & Conditions and Privacy Statement.

Payment Gateway Sign Up

Business Information

Contact Information

Director/Proprietor Signatory

Director/Proprietor Signatory 2

Director/Proprietor Signatory 3

Director/Proprietor Signatory 4

Merchant/Business Information

Online Merchant Facility

Settlement Account Details

Payment Gateway Options

Further Information

What are you looking for?

What's your monthly card transaction volume?