1 Let's get started2 Getting to know you3 Your Account Details Getting to know youOpportunity IDReferrerPromoDo you have an ABN or ACN?*ABNACNABN*ACN*Trading Name*Company Name / Business Proprietor / Trustee NameCompany Name / Business Proprietor / Trustee Name*Brief description of business*Trading Address (PO BOX not accepted)* Address line 1 Address line 2 Town/suburb ACTNSWNTQLDSATASVICWA State Postcode Telephone*Contact Email* Is your mailing address the same as your trading address?*YesNoMailing Address (if different) Address line 1 Address line 2 Town/suburb State Postcode Number of Directors / Proprietors*Please enter a number from 1 to 3.Website Have you been quoted by us?YesNo Average monthly figuresEstimated monthly credit & debit card turnover*Estimated number of individual credit & debit card transactions*Estimated percentage of manual entry transactions*Your account detailsDo you want a physical terminal, virtual terminal or both?*Physical terminalVirtual terminalBothWhich device would you like to get?*Live eftpos standardLive eftpos integrated (with POS integration)Number of Live eftpos device*Number of virtual terminalContact person for installation* First Last Phone number on site*Which Point Of Sale software are you currently using?*Business Hours*Would you like to accept Zip payments*YesNoFind out more here: https://www.liveeftpos.com.au/zip-payWould you like to accept MOTO payments?*YesNoSelect MOTO if you wish to process transactions manually by entering a card number into your device. Please note; MOTO take up to 3 business days to enable on your terminal. Qantas Business RewardsABN number registered with Qantas Business RewardsJoining Qantas Business Rewards allows you to earn Qantas Points through your Live eftpos black device. You can either join now at https://www.qantasbusinessrewards.com/liveeftposfree or select NEXT to sign up at a later date.Bank account and direct debit detailsAccount Name*BSB:*Account Number*Automated SurchargingWould you like to surcharge your customers?*YesNo ThanksUndecidedSurcharge AmountHow much would you like to surcharge?At MSF1% below MSFCustom ValueYour selected surcharge cannot be greater than your merchant service fees. If you have selected an amount greater than your merchant service fees, this will be adjusted upon creation of your Live eftpos merchant account.Visa/Mastercard*Diners/Amex*Eftpos/Debit*TippingYou have the choice to apply a suggested tip amount to each transaction*YesNo ThanksUndecidedTipping Amount* Proprietors/DirectorsYour Details / First Director / ProprietorName* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Date of birth* Date Format: MM slash DD slash YYYY Position*Driver's License Number*Mobile Number*Residential Address* Address line 1 Address line 2 Town/suburb ACTNSWNTQLDSATASVICWA State Postcode Second Director / ProprietorName* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Date of birth* Date Format: DD slash MM slash YYYY Email* Position*Driver's License Number*Mobile Number*Residential Address* Address line 1 Address line 2 Town/suburb ACTNSWNTQLDSATASVICWA State Postcode Third Director / ProprietorName* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Date of birth* Date Format: DD slash MM slash YYYY Email* Position*Driver's License Number*Telephone*Residential Address* Address line 1 Address line 2 Town/suburb ACTNSWNTQLDSATASVICWA State Postcode By clicking submit, I agree to the Privacy Policy , the new quote, Rewards Terms & Conditions and the Terms & Conditions. I also authorise Live eftpos to obtain information from my personal credit profile.NameThis field is for validation purposes and should be left unchanged.