MYPay Service Application Form



Merchant Information
Legal Name of Business
Trading Name of Business
Business License No.(NZBN)
Company Registration Number
Office Telephone No. Office Fax No.
Email Address for Notice
Phisical Address of Business
Registered Address of Business (if a company)
Description of Products Supplied
Merchant’s Bank Account Information
Bank Name
Account Name
Account Number
SWIFT Code
Settlement Currency NZD
DIRECTORS (Primary Contact Information)
Full Name
Date of Birth Place of Birth
Residential Address
Driver License/Passport
Mobile Phone
Email Address
DIRECTORS/25% + SHAREHOLDERS #2
Full Name
Date of Birth Place of Birth
Residential Address
Driver License/Passport
Mobile Phone
Email Address
DIRECTORS/25% + SHAREHOLDERS #3
Full Name
Date of Birth Place of Birth
Residential Address
Driver License/Passport
Mobile Phone
Email Address
Service Option
Merchant Service Fee (s) Dollar for Dollar settlement
Merchant absorb service fee
Checkout Funding Channel The service include small balance express, account balance, and online banking (which only supports web mode)
Please select express checkout by inserting a tick in the box below:
Express Checkout

THE MERCHANT and the agreement to this application;

  • Agree that the Alipay facility, if granted by IE MONEY Limited, will be subject to the terms and conditions set out in the IE MONEY Limited’s standard “MERCHANT AGREEMENT RELATING TO PAYMENTS”, including all Schedules to that agreement;
  • Warrant that clicking submit has the authority to bind the Merchant to the above agreement;
  • Warrant that all the information in this application form is true and correct as at the date of submit.