Merchant Application — Eftpos Systems Limited

Tell us about your business and we'll match you with the right terminal, rate plan and settlement setup. Takes about five minutes — nothing here is charged or committed until we call to confirm.

01 Contact

Contact full name *

Enter a contact name.

Position / role *

Enter their role.

Email *

Enter a valid email address.

Mobile number *

Enter a valid NZ phone number — digits only, starting with 0, up to 12 digits.

02 Business details

Business structure *

Select a business structure.

Registered business name *

Enter the business's registered legal name.

NZBN (optional — auto-fills from lookup)

Trading name (if different)

GST number (optional)

Industry (search by business type or MCC code) *

Select an industry / business category.

Trading address *

Enter the trading address.

Postal address (leave blank if same as trading address)

Retailer understands that if they supply vape/smoke products, they will only be supplying products in Tobacco, Mint or Menthol flavours.

Proof of address requirements

We require proof of residential address for all sole traders and partnerships. This can be one of the following:

A New Zealand driver licence that displays your current residential address
A document from a New Zealand Electoral Office
A utility bill — power, gas, water, landline, SKY or internet
A New Zealand council rates notice or valuation
A document from a NZ bank, bank subsidiary, credit union or lending/deposit institution (excludes financial advisors, brokers, money remitters, and BNZ or BNZ subsidiaries)
A document from a NZ insurance company showing a unique policy or reference number (not a quote)
A document issued by a New Zealand Government agency
A residential rental agreement
A document from a NZ superannuation provider with a unique customer/reference number

If a document was sent to an address you don't live at — a PO Box, for example — that's fine, as long as it shows your name and current residential address somewhere in the document.

Proof of address document (optional for now — we'll email you for it if it's missing)

⬆ Click or drop a file to upload PDF, JPG or PNG, up to 10MB

That file's too large or an unsupported type — try a PDF, JPG or PNG under 10MB.

Your residential address (as shown on the proof of address you provide)

Enter your residential address as shown on your proof of address.

Postal address (if different from residential)

03 Shareholders (25%+ ownership)

We need ID for everyone who owns more than 25% of the business. If we found the company on the Companies Register, we've pre-filled what we could below — please check it over and add anyone missing.

Shareholder 1

First name *

Enter their first name as shown on their ID.

Last name *

Enter their last name as shown on their ID.

Date of birth *

Enter their date of birth.

How will they verify their ID? *

NZ Driver Licence NZ Passport

Choose how they'll verify their ID.

Licence number *

Enter their driver licence number.

Licence version *

Enter their licence version number.

Licence expiry *

Enter their licence expiry date.

Front of their driver licence *

⬆ Click or drop a file to upload PDF, JPG or PNG, up to 10MB

That file's too large or an unsupported type — try a PDF, JPG or PNG under 10MB.

Back of their driver licence *

⬆ Click or drop a file to upload PDF, JPG or PNG, up to 10MB

That file's too large or an unsupported type — try a PDF, JPG or PNG under 10MB.

Passport number *

Enter their passport number.

Passport expiry *

Enter their passport expiry date.

Passport ID page *

⬆ Click or drop a file to upload PDF, JPG or PNG, up to 10MB

That file's too large or an unsupported type — try a PDF, JPG or PNG under 10MB.

Shareholding / ownership percentage *

Enter their ownership percentage (1–100).

Proof of address requirements

We require proof of residential address for every shareholder who owns 25% or more of the business (and for the authorised officer, for societies and charities). This can be one of the following:

A New Zealand driver licence that displays their current residential address
A document from a New Zealand Electoral Office
A utility bill — power, gas, water, landline, SKY or internet
A New Zealand council rates notice or valuation
A document from a NZ bank, bank subsidiary, credit union or lending/deposit institution (excludes financial advisors, brokers, money remitters, and BNZ or BNZ subsidiaries)
A document from a NZ insurance company showing a unique policy or reference number (not a quote)
A document issued by a New Zealand Government agency
A residential rental agreement
A document from a NZ superannuation provider with a unique customer/reference number

If a document was sent to an address they don't live at — a PO Box, for example — that's fine, as long as it shows their name and current residential address somewhere in the document.

Residential address *

Enter their residential address as shown on their proof of address.

Proof of address document *

⬆ Click or drop a file to upload PDF, JPG or PNG, up to 10MB

That file's too large or an unsupported type — try a PDF, JPG or PNG under 10MB.

04 Settlement banking

Bank *

Select your bank.

Account name *

Enter the account name.

Settlement account number *

Enter a valid account number.

Daily EFTPOS takings settle into this account, usually next business day.

Proof of bank account *

⬆ Click or drop a file to upload PDF, JPG or PNG, up to 10MB

That file's too large or an unsupported type — try a PDF, JPG or PNG under 10MB.

A bank statement, deposit slip or online banking screenshot showing the account name and number above.

Settlement details are used only to configure your merchant account and are never charged directly — no funds move until your first live transaction.

06 Review & submit

By submitting this application you confirm the information provided is accurate to the best of your knowledge, and you authorise Eftpos Systems Limited and its associated parties, including BNZ and Paymark, to conduct standard credit and business verification checks in order to assess your application. This form does not itself create a binding contract — a member of our team will contact you to confirm terms before any agreement is signed.

I confirm the above information is accurate and I agree to be contacted about this application. *

07 Direct debit authorisation

Sign below to authorise Eftpos Systems Limited, BNZ and Paymark to set up a direct debit authority on the account you provided, for the EFTPOS services. This takes the place of a separate paper form — your signature is applied to the official direct debit authority automatically.

Want to read the forms first? View the Paymark & BNZ authority (PDF) · View the Eftpos Systems authority (PDF) — both open blank, unsigned, in a new tab.

This bank account requires two authorised signatories to approve a direct debit.

Your signature *

Sign here with your mouse, trackpad or finger

This is captured as an image, along with the date, time and your IP address.

Please sign above before continuing.

I authorise Eftpos Systems Limited (Initiator), BNZ (Initiator) and Cuscal Paymark (Initiator) to set up a direct debit authority against the bank account details provided in this application, for the purpose of collecting associated EFTPOS terminal and merchant service fees, in accordance with the specific terms and conditions of that authority. I confirm the signature(s) above are mine and/or the named second signatory's (who will separately confirm their own signature via the link we send them, where applicable), and that submitting this form electronically constitutes signature on the direct debit authority.

I authorise the direct debit as described above. *

SENT

Application received

Thanks — your application has been recorded. One of our merchant specialists will be in touch within one business day to confirm details and arrange installation.

REF

Apply for merchant EFTPOS services

Proof of address requirements

Shareholder 1

Proof of address requirements

Application received