Enterprise Activation - www.mintpayments.com

Trading Name*

Legal Entity/Business Name*

ABN*

ACN (If applicable)

Business Website*

Trading Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Owner Full Name*

If there are multiple owners, please list one here.

Percentage of Business Owned

Contact Full Name*

Please list one contact that we can reach out to for more information (eg. Owner, Finance Manager etc).

Contact Number*

Contact Email address*

BSB Number (Debit)*

Account Number (Debit)*

Account Name (Debit)*

BSB Number (Settlement)*

Account Number (Settlement)*

Account Name (Settlement)*

Supporting Documents

We can get these later if you don't have them on hand but we'll need them to finalise your account

Drivers License or Photo ID Front & Back (Copy, PDF or Photo)*

Drop files here or

Max. file size: 10 MB.

Must be Full Colour. Black and white will not be accepted.

Bank Statement (Copy, PDF or Photo)*

Drop files here or

Max. file size: 10 MB.

Must show company name, BSB and Account number. This cannot be a screenshot from your Banking App.

CAPTCHA

Terms & Conditions*

I have read, understood and agree to be bound by the Mint Sales Australia Pty Ltd (Mint) Terms and Conditions. I agree that those shall be the only terms of any contract entered into with Mint. I confirm that all the information contained in this application is true and correct and that any information subsequently provided in support of this application will be true and correct.
I have read, understood and agree to be bound by the Stripe Terms and Conditons and Stripe Services Agreement.
If you would like us to facilitate the ACS fee, you have have read, understood and agree to be bound by AICS Terms and Conditions.
I hereby request and authorise Mint Australia Pty Ltd (Debit User No. 513441 & 252550) to debit my / our nominated bank account provided above through the Bulk Electronic Clearing System for any amount that Mint (Aust) Pty Limited may debit or charge in accordance with the terms and conditions set out in the Service Agreement. I acknowledge that this DDR is governed by the terms of the Service Agreement and is to remain in full force in accordance with the terms and conditions contained in that Service Agreement.

Links to all agreements, terms and conditions (our own, partners and acquirers) are located in our website footer on our home page for your viewing.