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

Hidden

Technical Contact

Name

First Name Last Name

Email Address

Phone Number

Billing Contact

Hidden

Billing Contact

Name

First Name Last Name

Email Address

Phone Number

Merchant Agreement

Hidden

Bill Contact

Hidden

Tech Contact

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