CommSecure

PaySecure Checkout - Online Merchant Registration

The following Merchant Registration Form is used to collect details about your company and the information provided to you by your nominated bank, in order for us to set-up secure online credit card processing for you.

Before you start to complete this Registration Form, you will need to:

Have a good understanding of the PaySecure Checkout product by reading the PaySecure Checkout page and the relevant sections of the PaySecure Product Specification document for a more technical view
Contact your Bank Relationship Manager to apply for a "Merchant ID for transacting over the Internet". The Guide to Banking document will help you make sure you have all the information you will need to complete this registration form
Read the Terms and Conditions document and be able to accept the PaySecure Service Fees, Terms and Conditions

***************************************

Online Merchant Registration Form for PaySecure Checkout

PART 1a - Main Contact and Company Details

Your name
Your title/position
Your email address
Your phone
Your fax
Company name
Company ABN
Company address

PART 1b - Technical Contact Details

Name
Title/position
Email
Phone/mobile
Fax

PART 1c - Out of Hours Emergency Technical Contact Details

Name
Title/position
Email
Phone/mobile
Fax

PART 2a - Your Bank information for Mastercard and Visa set-up

Please note that with the exception of Westpac, we require TWO Terminal ID numbers for your Bank

Your Bank
Merchant ID
Terminal ID
Terminal ID

PART 2b - Additional information required for NAB and CBA

If your Bank of choice is NAB or CBA, we also need the following information

NAB Electronic Banking (EB) number
CBA Card Acceptor Identification Code (CAIC)

PART 2c - For AMEX and Diners Club setup

AMEX Merchant number
Diners Club Merchant number

Part 3 - Acknowledgments & Agreements

You must tick both of the following statements prior to submitting your form

	I have read and accept the Service Fees, Terms and Conditions
	I wish to become a Client of CommSecure with the PaySecure Checkout product