Merchant Subscription: Join

Please enter information on the form below to process subscription for Join Merchant.

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Regards,

Access Commercial Exchange

Email *

Password *

Retype Password *

Business Merchants Card Membership Registration

Welcome to our Merchant registration page. Before you proceed any further, please have documentary evidence of your identity and address details ready to upload. You will be required to upload one document from each category below in order to comply with international KYC (Know Your Customer) and AML (Anti Money Laundering) laws.

Category 1: A document showing your photograph (driver's license,)
Category 2: A document showing your address (bank statement, utility bill, solicitors letter, accountants letter, employers letter, teachers letter)

These documents must be in jpg, tif, gif, png, doc, docx or pdf format and must not exceed 2.5 megabytes each. Please ensure your browser has cookies and JavaScript enabled.

Supplying incorrect or misleading identity and address information will result in immediate suspension without warning.

Membership Information

Membership Type: Standard
Once off set up Merchant Membership Cost Corporate $495 and Platinum $995. Your Membership includes a membership trading portal access and portal advertisement (s).

Referred By

Agent Code

Personal Information

Company Name

Registration Number

First Name *

Last Name *

Date of Birth *

Gender *

Location Information (Home)

Address 1 *

Address 2

Local City/Suburb *

State

Zip/Postal Code

Country *

Location Information (Business)

Address 1 *

Address 2

Local City/Suburb *

State

Zip/Postal Code

Country *

Contact Information

Email Address *

Repeat Email *

Phone Area Code *

Phone Number

Mobile/Cell Number

Promotions

Selling Goods and Services

Industry

Identity Information

Identification Type *

Identification Number *

Identification Country *

Driver's Licence State

Document 1 (Drivers License, Passport, ID Card, Student Card)

Document 2 (Bank Statement, Utility Bill, Solicitors Letter, Accountants Letter, Employers Letter, Teachers Letter)

Currency

Tick to indicate that you want to receive information about the benefits

Tick here if you have read and agree to the Access Commercial Exchange Merchant Agreement and Agreement Definitions *

Yes, I have read and agree to the Access Commercial Exchange Rules

Access Commercial Exchange Card Fees

Monthly marketing, promotion and stationery admin fee of $22.00 including GST.

Nominate the Bank Account - Where Do You Want The Cash Back Rewards Deposited Or Fees To Be Debited

Name of Beneficiary *

Name of Bank *

Account BSB *

Account Number *

I authorize Access Commercial Exchange Pty Ltd to deduct a once off set up subscription fee of:

Corporate Card $495 (with interest free line of credit of $5000 subject to T & C ) or PLATINUM card $995 (with interest free line of credit of $50000 subject to T & C.) FROM:

Select Card *

Corporate Card $495

PLATINUM card $995

Card or Account Name (Insert) *

Credit Card Number (Insert ) *

Expiry Date

Credit Card *

BANK TRANSFER

MASTERCARD

VISA

BANK ACCOUNT DEBIT (As per Nominated Bank Account Above)

Merchant Subscription: Join

Business Merchants Card Membership Registration

Membership Information

Personal Information

Location Information (Home)

Location Information (Business)

Contact Information

Identity Information

Access Commercial Exchange Card Fees

Nominate the Bank Account - Where Do You Want The Cash Back Rewards Deposited Or Fees To Be Debited

I authorize Access Commercial Exchange Pty Ltd to deduct a once off set up subscription fee of:

Incorporating

International

International

International

Dream Deposits International

International

About our Company

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