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Lease Form

In order for you to lease one of our eftpos machines we need to get your information. Please fill out this form and we'll be in touch soon. Once we have this information we'll be in contact with you to sort out the finer details.

If you just want to send a quick question consider using our general contact form.

* Required Field

Business Details

Please enter a contact person who has direct correspondence with the owner, partners, directors or trustees. For example the general manager, PA or admin.

Details of Owner (if sole trader), Partners (if partnership), Directors (if company) or Trustees (if trust)

Second persons details if needed

Trade References

For example your lawyer, accountant or suppliers

First

Second

Eftpos Details