You can always press Enter⏎ to continue
Merchant Account Application
Please fill out and submit this form.
11
Questions
START
1
Type of Business
*
This field is required.
Restaurant/Cafe
Commercial/Cloud Kitchen
Grocery / Butcher / Fruit & Veg
Bakery / Cake Maker
Other
Previous
Next
Submit
Press
Enter
2
Trading Name
*
This field is required.
Name of Venue
Previous
Next
Submit
Press
Enter
3
Contact Person
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
4
Contact Number
*
This field is required.
Previous
Next
Submit
Press
Enter
5
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
6
Address of Business
*
This field is required.
Email additional locations if applicable
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
Previous
Next
Submit
Press
Enter
7
What POS system do you currently use?
*
This field is required.
Previous
Next
Submit
Press
Enter
8
What is your current weekly volume for deliveries?
*
This field is required.
Previous
Next
Submit
Press
Enter
9
When do you want to start service?
*
This field is required.
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
10
Who referred you to us?
*
This field is required.
Previous
Next
Submit
Press
Enter
11
Application Fee
*
This field is required.
prev
next
( X )
My Bag
1
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
GST
AUD
Subtotal
AUD
Total cost
AUD
Account Setup
$
99.95
AUD
+
Edit
Back
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Previous
Next
Submit
Press
Enter
12
Invoice ID
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
12
See All
Go Back
Submit