LoyaltyPlus Contract "*" indicates required fields Company DetailsCOMPANY* Please do not enter any special charactersTRADING AS* BUSINESS TYPE*Please SelectIndividualCCPty LtdTrustNPOIncorporationOtherREGISTRATION NO VAT NO. PHONE* Store's AddressBUILDING / COMPLEX ADDRESS* CITY* CODE* PROVINCE*Please SelectEastern Cape Free State Gauteng Kwazulu NatalLimpopoMpumalangaNorth West Northern Cape SwazilandWestern CapeOutside South Africa / InternationalWEBSITE OR FACEBOOK PAGE Personal Details- Store ManagerNAME* SURNAME* CELL* EMAIL* PackageLOYALTY MACHINE PACKAGES* PRINTPOS RENTAL (MONTH TO MONTH): R200 Setup + R299pm* (Device with Single SIM) + R50pm (Insurance)+ R299pm Loyalty App PRINTPOS PURCHASE (ONCE OFF): R200 Setup + R3899 Purchase + R50 per month per SIM thereafter + R299pm Loyalty App. All prices exclude VATQUANTITY* DID YOU KNOW? Our PrintPOS rental fees are waivered if you choose to use WAPPoint for card payments and achieve more than R45000 in card turnover each month!Besides loyalty services, please select if you require any of the following functionality to be added to the Android device Card Payments VAS (Sell airtime, data, water, bill payments, vouchers etc) Point Of Sale None Select AllTransaction Fees Dependent on turnover sliding scale starting on 2.95% Visa and Master, 4% Foreign Cards. Visit www.wappoint.co.za/pricing to view sliding scale rates I want you to match/beat an existing supplier /quote I will enter the rates individually Credit Card Rate Debit Card Rate Foreign Card Rate About Your BusinessBUSINESS CATEGORYPlease SelectAccommodation/Lodging/Hotels/Guesthouses (7011)Arts & Crafts (5970)Automotive Parts, Accessories & Related Products/Services (5533)Baby & Kids (5651)Bars /Taverns/ Nightclubs /Cocktail Lounges (5813)Beauty Salons/ Nail bars/ Barber Shops (7230)Beer /Wine/ Liquor (5921)Car Washes (7542)Charitable /Religious Organizations (8398)Computers/Peripheral Equipment/Software (5045)Digital or Paper Goods: Media, Books, Movies, Music, Stationery (5815)Fashion & Accessories (5631)Food & Drink, Coffee Shops, Fast Food, Restaurants etc (5814)Funeral/Insurance Policy (6300)Grocery Stores and Supermarkets i.e. Perishables, Housewares, Hygiene items etc (5411)Health and Fitness (7997)Hobbies, Toys and Games (5945)Home & Garden (5712)Jewellery Stores/ Watches/ Clocks/ and Silverware Stores (5944)Management/ Consulting/ Public Relations Services (7392)Medical Services /Health Practitioners (8099)Personal Services (7299)Pets & Animal Products/Services (5995)Photography /Art/ Graphics (7333)Professional Services (8999)Recreation Services (7999)Retail Stores (Not Elsewhere Classified 5999)Schools and Educational Services (8299)Special Trade Contractors/ Painters/ Building / Construction (1799)Sporting Goods & Sport Related (5941)Travel Agencies /Tour Operators (4722)OtherPRODUCTS / SERVICES ESTIMATED MONTHLY CARD TURNOVERPlease SelectR0-R25000R25001–R50000R50001–R75000R75001–R100000R100001+AMOUNT PER SALEPlease SelectR0-R5000R5001+Under and Over R5000PLEASE NOTE: In line with FICA and Reserve Bank Regulations, for all transactions processed larger than R5000, we may require additional paperwork (vouchers, proof of delivery, and any other FICA pertaining to the sale or to your business that the bank may ask us for). Failing to supply the correct documents could result in payment delays. If your business will be trading in large amounts regularly, we recommend that you protect yourself against disputes by obtaining a proof of delivery/delivery note which verifies that the customer has received their goods/services in order and keep it with your merchant copy transaction voucher. TRADING YEARSPlease Select0-1 Years1-2 Years2-5 Years5-10 Years10+ YearsSell Airtime & Electricity R50pm to add this App to your card machine *PrintPOS only I do not want to add this functionality to my card machine With this functionality, you will be able to vend the following: Airtime Data Electricity Water Bill Payments Money Transfers Universal Vouchers International ContentPoint of Sale Software POS LITE: Integrated with Card Machine R50.00pm POS: App Integrated with Card Machine / Windows (Desktop) Monthly Subscription FROM R285.00 CUSTOMISED PACKAGE: As discussed with sales person/agent I do not want to add this functionality to my card machine With this functionality, you will be able to track sales, manage inventory and moreDelivery ArrangementsDELIVERY / COLLECTION ARRANGEMENTSSame as Physical Address*Please selectSame as physical address providedDifferent from physical address providedDELIVERY ADDRESS Street Address Address Line 2 City ZIP / Postal Code Please specify your PHYSICAL address for the courier to deliver / collect your packageDELIVERY DATE* DD dash MM dash YYYY Bank INTO Details - For SettlementsACCOUNT HOLDER BANK NAMEPlease SelectABSAAfrican BankBank of AthensBidvestCapitecFNBInvestecNedbankSA Post BankStandard BankTyme BankOtherACCOUNT NUMBER BRANCH CODEPlease Select632005430000410506462005470010250655580105198765460005051001678910OtherACCOUNT TYPEChequeSavingsCurrentTransmissionCredit CardBank From Details - For Debit OrdersACCOUNT HOLDER BANK NAMEPlease SelectABSAAfrican BankBank of AthensBidvestCapitecFNBInvestecNedbankSA Post BankStandard BankTyme BankOtherACCOUNT NUMBER BRANCH CODEPlease Select632005430000410506462005470010250655580105198765460005051001678910OtherACCOUNT TYPEChequeSavingsCurrentTransmissionCredit CardAlternative Contact DetailsALTERNATIVE CONTACTS: Please supply us with 2 Alternative Persons we may contact if your number changes or you are unreachableCONTACT PERSON CONTACT NO CONTACT PERSON CONTACT NO FICA Documents: Can be sent by email after submission or uploaded hereAs we provide a banking service, the bank requires us to keep our customers’ files FICA approved at all times. We therefore ask that you attach the following documents as indicated below. If you do not have them on hand to attach right now, you can submit the form without this and email them to [email protected] later.Upload a Copy Of ID / Passport for each Owner/Director/Trustee Drop files here or Select files Max. file size: 2 MB. Preferably certified and preferably in Colour. If Passport, please submit your work permit as well.Upload Your Company Registration Documents (If Applicable) Drop files here or Select files Max. file size: 2 MB. Not applicable to individuals as this is not a requirement of utilising our services. Upload a Proof of Address Drop files here or Select files Max. file size: 2 MB. May not be older than 3 monthsUpload 1-3 Months Bank Statement Drop files here or Select files Max. file size: 2 MB. If your business account is new, please provide us with a personal bank statement as well. Upload a Bank Confirmation Letter / Bank Statement Drop files here or Select files Max. file size: 2 MB. TERMS AND CONDITIONSTERMS & CONDITIONSWAPPOINT CONTRACT* I accept the Terms & Conditions as listed on https://wappoint.co.za/terms-conditions Click here to read the Terms & ConditionsLOYALTY PLUS CONTRACT* I accept the Terms & Conditions as listed on https://wappoint.co.za/terms-conditions-loyaltyplus Click here to read the Terms & ConditionsCONTRACT SUMMARY As we need to abide by FICA regulations, we cannot pay out any transactions if there are any documents outstanding. We may from time to time request transaction vouchers or contact details for your cardholders. Please keep all vouchers for a minimum of 3 years and always take a contact number from cardholders, especially when processing larger transactions as this is part of our verification process. Once we have activated your account, you will receive login details to the customer area of our website. Here you will be able to access all of your transactions, reporting, invoices, statements & settlement reports for easier reconciliation of the payments made to you. You need to ensure that transactions have been approved for the correct amount before concluding any sale. WAPPoint cannot be held liable for any losses or damages, that might be incurred when giving products to clients without receiving proper authorisation from the Bank. Always settle the device if unsure or ask the cardholder to call their bank as an SMS is not a proper authorisation from the bank. Although this is very rare, a Cardholder can dispute a transaction up to 6 months after processing. You need to ensure that your paperwork or vouchers are perfectly in order for us to protect you and send them to us immediately upon request so that we may fight the case on your behalf. Payment will only be made on the 4TH BUSINESS DAY (Expo Merchant ID) or 2ND BUSINESS DAY (Permanent Merchant ID) after the device been settled and only if we have all your documents and any vouchers that may have been required. We offer 24/7 Support through our Help Desk number 021 3000121. For any assistance, please call this number and not the bank or other help desk numbers. Our transaction fees are indicated in your package selection. You start on these rates. In order to lower the rates, you need to reach the turnovers specified on our price list sliding scales pr provide us with a written statement from an alternative service provider so that we can see how we can match or beat these rates. Please note that you need to contact us to lower your rate (before we make payments to you) as our systems cannot change it automatically and we do not refund or credit the amounts once you have been paid out on a certain rate. Also note that VAT is charged on transaction fees. Select AllPlease take special note of the important bits of information above:I Hereby Accept* I certify that all the information provided herein is correct, accurate and true. I also authorise WAPPOINT to carry out any credit / reference checks to setup my WAPPOINT account if I am opting for card payments, otherwise not applicable That this is a legal binding contract and not an enquiry form. Select AllSALES PERSON Please name the consultant who assisted youAdditional CommentsCAPTCHAHiddenCustrack Status