Merchant Application Form



Referrer Information - Who referred you to ANZ Worldline?

We use the personal information collected from this form so we can respond to your query and provide or promote our products and services.  By clicking “I agree” you are accepting the terms of our Privacy Policy and how we protect and manage your personal information.  Please note that you can opt out from receiving any promotional material by contacting us or clicking the “Unsubscribe” button in any of the emails we send to you.

Please note that we may pay a commission to the partner that has referred your business to us.  This commission may be paid as a flat fee or based on your transaction volume for the duration you receive services from ANZ Worldline Payment Solutions.