Merchant Services Application Form.

You cannot save and return to this form.

Who is the best person to contact about this application? (Provide full name)

What is their contact number?

What is their email address?

What is the business' trading name? This is the name customers will see on their receipts.

What is the physical address of the business?

What is your website (if you have one)?

Please describe the types of products and services you will be accepting payments for, include details such as product categories, special features and target customers?

What is your association number?

What group or franchise do you belong to?

You will need to schedule an appointment with your nearest Westpac branch to open a business account with us. Once you're a Westpac customer, complete this form and then we can set up your merchant services.

What is the Westpac Business Transaction bank account number you will be using for payments (please do not include any dashes or spaces)?

What is the business' full legal name (this should be the same as your bank account)?

What type of business are you?

What is your New Zealand business registration number? (Hint: you can get this from the New Zealand Companies Office website)

What is your incorporated/registered society number? (Hint: you can get this from the New Zealand Companies Office website)

What is your estimated annual sales ($)?

What is your estimated average sale size ($)? If you're not sure just think of the price of the item you sell most.

How many EFTPOS machines do you have?

How many EFTPOS machines are needed?

What physical address should the EFTPOS machine be sent to? (note, we cannot send to PO boxes)

When are you planning to start taking payments? (our current time for set up is a minimum of 5 business days)

What postal address should statements be sent to?

What email address should statements be sent to?

Do you take payments in advance of your customers receiving their goods or services? For example, you take a deposit before a service is provided, charge your customers a bond, or provide the option for customers to purchase online and you post the good/s to them.

How many days in advance would you typically take payments before you provide your goods and services to your customer?

What percentage of your sales would be taken in advance of providing your customer goods or services?

By clicking submit, you:
• Confirm you are acting on behalf of the applicant business (including directors), and you are authorised to complete this application, including to provide credit check authorisations on behalf of the applicant (including directors)
• Authorise Westpac and/or its supplies to verify the information in the application using any sources deemed appropriate, authorise Westpac to obtain a credit check of the business (including directors) and authorise Westpac and any relevant third parties to disclose and exchange any personal information they may hold that may be required for such purposes
• Understand that Westpac may provide and receive ongoing credit information about the business (including directors) and authorise Westpac and any relevant third parties to disclose and exchange any personal information they may hold that may be required for such purposes
• Confirm that all information included in your application is accurate, complete and up-to-date
• Confirm that for an ecommerce application, the internet criteria must be met before the merchant facilities can be activated.
• Acknowledge that Westpac are, or may be, required to verify your identity and certain other information provided in this form.

Please refer to our list of acceptable verification documentation.

Merchant fees.

A Westpac representative will contact you to discuss the fees applicable to your merchant facilities after you submit this form.
Westpac may change your Merchant Service Fee (MSF) rate at any time by giving you written notice on the terms set out in the Merchant Services Agreement.