ASB Accept application

Choose the product(s) that best suit your needs. You can always add, remove or change your selection at a later stage.

Product details

Please select at least one product.

On-the-go

In-store


Date facility required

Please select a valid date.

ASB Accept application

Company details

Sorry, some information is missing. Please check and update anything you've missed.

Does your company bank with ASB?

Please enter either Yes or No.




Legal name

Please enter your legal name.

Trading name

Please enter your trading name.

Web address

Please enter a valid web address.

Business type

Choose a valid business type.

Description of goods / services sold

Please describe the goods / services being sold.

Full name of director / authorised signatory who will sign the application form

Please enter valid full names directors / authorised signatories.

Full name of another director / authorised signatory


Remove

Full name of another director / authorised signatory


Remove

Contact person's full name

Please enter the contact person's full name.

Please select a prefix and enter a valid phone number.

Preferred phone number

-

Email address

Please enter a valid email address.

Confirm email address

Email addresses do not match.

Physical address

Please enter a valid New Zealand residential address.

Address line 1

Please enter a valid New Zealand residential address.

Address line 2

Please enter a valid New Zealand residential address.

Suburb

Please enter a valid suburb.

City/Town

Please enter a valid city/town.

Postcode

Please enter a valid postcode.

Is your postal address same as your physical address?

Please enter either Yes or No.




GST number optional

Please enter a valid GST number.

ASB bank transaction account number for settlement amounts payable to you and monthly charging.

Please enter a valid account number.

12 -

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Name of bank

Full name on the account

Full name on the account.

Please review the details you have entered for accuracy. On clicking 'Finish' this information will be sent to ASB Merchant Services and a copy will be emailed to the email address you've provided outlining next steps.


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