Contract Scan 2 Pay "*" indicates required fields AGENT / COMPANY WHO REFERRED YOU If applicable, please name the company who brought you to usCompany DetailsCOMPANY* Please do not enter any special characters TRADING AS* BUSINESS TYPE*Please SelectIndividualCCPty LtdTrustNPOIncorporationOtherREGISTRATION NO VAT NO. PHONE* WEBSITE OR FACEBOOK PAGE Address Street Address City State / Province / Region ZIP / Postal Code Your FICA AddressAbout Your BusinessHiddenBUSINESS 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 YOU OFFER* ESTIMATED MONTHLY TURNOVER*Please SelectR0-R25000R25001–R50000R50001–R75000R75001–R100000R100001+AMOUNT PER SALE*Please SelectR0-R5000R5001+Under and Over R5000TRADING YEARS*Please Select0-1 Years1-2 Years2-5 Years5-10 Years10+ YearsPLEASE 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. Personal Details- Director / OwnerNAME*0 of 20 max characters SURNAME*0 of 50 max characters ID / PASSPORT NO* If Passport No, Please supply date of birth as wellCELL* EMAIL* PACKAGEMASTERPASS QR TERMINAL* R50 once off Setup, No Monthly Fee with a Turnover Sliding Scale Transaction Fee (Starting on 2.75%) Scan to Pay TerminalBank INTO Details - For SettlementsBANK NAME*Please SelectABSAAfrican BankBank of AthensBidvestCapitecFNBInvestecNedbankSA Post BankStandard BankTyme BankOtherACCOUNT HOLDER*0 of 20 max characters ACCOUNT NUMBER* ACCOUNT TYPE*ChequeSavingsCurrentTransmissionCredit CardBank From Details - For Debit Orders (If applicable)Bank From Details*Please SelectSame as Bank IntoDifferent from Bank IntoBANK NAMEPlease SelectABSAAfrican BankBank of AthensBidvestCapitecFNBInvestecNedbankSA Post BankStandard BankTyme BankOtherACCOUNT HOLDER ACCOUNT NUMBER ACCOUNT TYPEChequeSavingsCurrentTransmissionCredit CardAlternative Contact DetailsALTERNATIVE CONTACTS: Please supply us with 2 Alternative Persons we may contact if your number changes or you are unreachableContact Person First Name* Contact Number* Contact Person First Name* Contact Number* 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 sales@wappoint.co.za later.Upload a Copy Of ID / Passport for each Owner/Director/Trustee Drop files here or Select files Max. file size: 64 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: 64 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: 64 MB. May not be older than 3 monthsHiddenStore photo Drop files here or Select files Max. file size: 64 MB. Upload 3 Months Bank Statement Drop files here or Select files Max. file size: 64 MB. If your business account is new, please provide us with a personal bank statement as well. TERMS AND CONDITIONSTERMS & CONDITIONSWAPPOINT CONTRACT* I accept the Terms & Conditions as listed on https://wappoint.co.za/terms-conditions 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. That this is a legal binding contract and not an enquiry form. Select AllSALES PERSON Please name the consultant who assisted youAdditional CommentsCAPTCHAHiddenCustrack Status
