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Merchant Application Form

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Get In Touch

Monday – Friday: 9AM – 5PM

1800 456 855 Fax (02) 9809 7570
Suite 2.01, 80 Chandos Street, St Leonards NSW 2065 ABN 46 002 844 233

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Applicant Details

Business & Insurance

Are you trading as
Do you hold Public & Product Liability Insurance?

Product Category

Select the category your products fall under:

Product Details

Compliance Confirmation

Please tick all that apply:

Fulfilment & Customer Service

Financial & Payment Setup

This account will receive your 90% merchant payouts.

Agreement

By submitting this application, I confirm that:
Clear Signature
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