Please fill out all required details on the bellow form.  This information will be submitted to Bookeasy who will work with SecurePay to process your online gateway setup.

Bookeasy will endeavour to have your online gateway setup as soon as possible, however please note that during peak periods SecurePay can take anywhere from one to two weeks to complete their required setup.

Bookeasy will contact you and advise once the setup has been completed.

SecurePay

SUBMITTERS DETAILS

Your Name*
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Your Email Address*
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Your Contact Number
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MERCHANT DETAILS

Trading Name*
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Company Name*
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ACN / ABN*
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Street Address*
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Suburb / Town*
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State*
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Postcode*
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Phone*
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Website Address*
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Postal Address*
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BANK DETAILS

With which bank have you applied your Internet Merchant Account with?

Bank*
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Internet Terminal ID Number/s*
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If you’re a Commonwealth Bank customer please complete details below:

Merchant Category Code (MCC)
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*

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