MERCHANT APPLICATION FORM
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Merchant registered name
Merchant Registered Name is required
Trading Name is required
Business registration number
Business Registration Number is required
VAT registration number
Contact Person is required
Cellphone Number is required
Email (valid and correct)
Not a valid e-mail address
Physical Address is required
Bank of Athens
First National Bank
Investec Private Bank
Bank is required
Branch Code is required
Branch Name is required
Bank Account Number
Bank Account Number is required
I/We hereby authorise RAS to do a credit check on behalf of my/our customer(s) and to debit my/our account with the amount as stipulated in the terms & conditions with the Pay As You Use billing option. I/We understand that my/our customer(s) have to complete and sign the consent form, as prescribed by legislation, and record for future reference and auditing purposes.
PAYU method of payment
Select payment method
Electronic Funds Transfer (EFT)
I/We have read and fully understand and accept the terms and conditions attached to this form.
(one option only)
Bureau access only (once off R800.00 excluding VAT)
Premium package (credit authorisations, cheque guarantee and legal collections)
MONDAY TO FRIDAY
08:30AM - 4:30PM
79 A Elias Motsoaledi street
Protect your business, know your clients. We grant access to credit bureau information and services to help you build a paying debtor clientele.
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