Merchant Migration

If you currently offer POLi Payments to your New Zealand customers via a Merchant Agreement with Poli Payments Pty Limited you will need to fill out the form below to continue using POLi after 31 October 2023.

"*" indicates required fields

Company Details

Company Name*

Trading Name

ABN, ACN, NZBN or Company Number*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Bank Proof Document*

Your bank proof document must be issued by your bank display the following information:

Bank branding
Bank account number
Account holder name

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.

Business Contact

Name*

First Name Last Name

Email Address*

Phone Number*

Technical/Operations Contact

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Technical Contact

Name

First Name Last Name

Email Address

Phone Number

Billing Contact

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Billing Contact

Name

First Name Last Name

Email Address

Phone Number

Merchant Agreement

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Bill Contact

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Tech Contact

CAPTCHA