ATM Signup

Business Contact Information

Recipient of Services
Australian Business Number
yyyy-mm-dd




Sole proprietorshipPartnershipCorporationOther




Business and Account Information

Is the applicant an eftpos Member?



Do you process ATM Transactions for an eftpos Member?
Which eftpos Members do you process ATM Transactions for? Full names
If Applicant is not a Direct Clearer (as defined in the Consumer Electronic Clearing System Regulations), name Applicant's Direct Clearer
If Applicant is not a Direct Settler (as defined in the Consumer Electronic Clearing System Regulations), name Applicant's Direct Settler


Banking Information





Business/Trade References (If Applicant Is Not An eftpos Member)










Terms and Conditions V.1.2 (June 2017)

I agree to the above Terms & Conditions

Privacy Policy

I agree to the privacy policy.

Agreement

  1. By submitting this application:
    1. you acknowledge having access to the ATM processing terms and conditions, eftpos Scheme Rules, Technical, Operational and Security Rules, eftpos Link Specification and Standard Hub Service Schedule and ATM processing services privacy collection statement as published by eftpos;
    2. you agree to the ATM processing terms and conditions and represent and warrant that you are authorised to bind the Applicant;
    3. you authorize eftpos Payments Australia Limited ABN 37 136 180 366 to make inquiries into the banking and business/trade references that you have supplied;
    4. you are not applying to become a Member and will not through any outcome from this application be admitted as a Member of the eftpos Payment System - different documents and processes are to achieve this;
    5. you represent and warrant that you:
      1. have read and understood the ATM processing services privacy collection statement
      2. are authorised to provide the information in this Application
      3. will keep the relevant information up to date and complete; and
      4. have or will as soon as possible notify any named individuals that their contact information has been provided to eftpos, the uses and disclosures to be made of it as set out in this Application and that they can seek to update or access their personal information by contacting privacy@eftposaustralia.com.au