DONATION POINT TAP DEACTIVATION REQUEST

DONATION POINT TAP

QUEST MERCHANT SERVICES

merchantservices@questps.com.au
DONATION POINT TAP DEACTIVATION REQUEST
Charity / Entity Name
ABN
Quest Merchant ID
If known

List the DPT serial numbers to close

	DPT Serial Number
1
2
3
4
5
6
7
8
9
10

Submitting this form will permanently deactivate the terminals listed above

For the Merchant ID provided (ABN if Merchant ID not provided),this will:
- Close all applicable Merchant Facilities in relation to the terminals listed
- Permanently cease DPTs listed from operating
Authorised Signature
Name
Position
Signature

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