Merchant Application Form

Business details
Payment requirements
BSB
Account Number
Yes/No?
Yes/No?
Contact Person
Name *
Name
Please note that the nominated person will be contacted to establish that this is a legitimate business and that this person is an officer of the business.

The following documentation must be supplied with this application as part of the legal requirements to comply with the Anti Money Laundering and Counter Terrorism Financing  (AML/CTF) legislation:

  1. ASIC documention: either an annual review or a company details extract.  It must show all directors (including DOB and address), shareholders and registered office address.
  2. Copy of a bank statement: must show the name of the account holder, address, BSB and account number. It must show a current balance. The address should match the company address.
  3. Photo ID: must be for a director or if a sole trader, the proprietor.  This must show the name, DOB and address.

Please email all documentation to: carlos@quaypay.com