Common Contracts
1 similar Terminal Agreement contracts
Terminal Model: Date of Agreement:Terminal Agreement • April 27th, 2021
TERMINAL TYPE (Tick X) REQUEST TYPE (Tick X) PERMANENT/TEMPORARY (Tick X) [ ] DIAL-UP/ WIFI/LAN[ ] GPRS [ ] MPOS[ ] MOTO [ ] E-COMMERCE [ ] RECURRING [ ] NEW (No.of Terminal : units) [ ] ADDITIONAL TERMINAL(No.of Terminal : units)[ ] ADDITIONAL OUTLET [ ] PERMANENT[ ] TEMPORARY EXPIRY DATE : REASON: NO ITEMS PARTICULARS 1 Merchant Business Name (DBA) 2 Merchant Registered Business Name 3 Business Registration Number & Other Registration Number (if any) GST/Income Tax Number : 4 Address Registered Office(As per SSM or etc.): Business Address(As per SSM or etc.): Mailing Address(for Merchant Statement): 5 Business Contact Numbers Office : Fax : Mobile : 6 Website / URL Address 7 IP Address (for E-commerce use) 8 Business E-Mail Address (for IBG notification use) CREDIT TO COMPANY CURRENT ACCOUNT: 9 Bank Account Number : 10 Branch
