Application Test Page – signup.mintpayments.com

This form is for amending the details of an existing application with additional products or trading locations.

If you have multiple trading locations you need to apply for, please complete this form separately for each trading location

Please contact applications@mintpayments.com if you have any questions
About You & Your Business
Name*
First Last
Please select your trading location*
- Australia
- New Zealand
What are you applying for?*
- Additional Products
- Additional Trading Location
ABN*

Please enter the ABN used on your primary application with Mint
NZBN*

Please enter the NZBN used on your primary application with Mint
Business Trading Name*

As listed on ABN Lookup or NZBN Register

Save and Continue Later

Additional Trading Location
Additional trading location must have the same registered business number (ABN or NZBN) as the one used in your main application.
Primary Contact for this Trading Location
Name*
First Last
Email*
Phone*
Business Details of this Trading Location
Business Trading Name*

As listed on ABN Lookup or NZBN Register
Business Trading Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Trading Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Mailing address*
Same as trading address

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

All statements and notifications are sent via email, however, on some occasions you may receive mail that is directly related to your account.
Mailing address*
Same as trading address

Street Address Address Line 2 City ZIP / Postal Code Country

All statements and notifications are sent via email, however, on some occasions you may receive mail that is directly related to your account.
Trading Location Phone Number*

Save and Continue Later

Account to Account	Digital Wallets
PayID	Apple Pay
	Google Pay

Account to Account	Digital Wallets
POLi	Apple Pay
	Google Pay

Business Banking Details
Please provide the business banking details for this trading location.
Please provide the business banking details that you wish to use for your selected product(s).
PAYMENTS account - For acquiring, this is the account where your settlement will be paid into and refunds will come out of. For EFT, this is the account where payments will be taken out of and refunds paid into (note, if you would like to nominate an alternate account for EFT, you will have the option later in this form).
DEDUCTIONS Account - this is the account that your merchant fees and disputes and chargeback fees will be taken out of.
Payments Account Name*
Payments Account BSB*
Payments Account Number*
Please upload a PDF copy of a recent bank statement for this payments account
Accepted file types: pdf, Max. file size: 10 MB.
A statement is required if these account details are different to those you may have provided to Mint previously
e.g. for an existing product you have with Mint or different to what was provided in your original application form.

NOTE: If you do not upload this now, our applications team will follow up with you after submitting this form if a banking statement is required.
Is the Deductions Account the same as the Payments Account listed above?*
- Yes
- No
Deductions Account Name*
Deductions Account BSB*
Deductions Account Number*
Please upload a PDF copy of a recent bank statement for this deductions account
Accepted file types: pdf, Max. file size: 10 MB.
NOTE: If you do not upload this now, our applications team will follow up with you after submitting this form if a banking statement is required.
Do you require a different bank account for EFT purposes?*
- Yes
- No
Account Name (EFT purposes)*
Account BSB (EFT purposes)*
Account number (EFT purposes)*
Please upload a PDF copy of a recent bank statement for this account
Accepted file types: pdf, Max. file size: 10 MB.
NOTE: If you do not upload this now, our applications team will follow up with you after submitting this form if a banking statement is required.

Save and Continue Later

Step 1 of 5

About You & Your Business

Additional Trading Location

Primary Contact for this Trading Location

Business Details of this Trading Location

Select your Mint Products

Mint Acquiring

Online Payments

Alternative Payment Methods

Integrations

S700 EFTPOS Terminal

MintEFT

Business Banking Details

Terms and Conditions