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Gateway Submission Form
1
Business Name
Business Name
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2
First Name
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3
Surname
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4
Phone Number
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5
Email
example@example.com
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6
Plan
PostPaid Plan 1 ($395)
PostPaid Plan 2 ($450)
Post Paid Plan 3 (IVR) ($450 + $450 + $25pm)
PrePaid Plan 1 ($800 for 3000)
PrePaid Plan 2 ($1,400 for 6000)
PrePaid Plan 3 ($2,200 for 10,000)
Custom
Sub Account
FraudGuard (.05 per transaction)
3D Secure ($395)
PostPaid Plan 1 ($395)
PostPaid Plan 2 ($450)
Post Paid Plan 3 (IVR) ($450 + $450 + $25pm)
PrePaid Plan 1 ($800 for 3000)
PrePaid Plan 2 ($1,400 for 6000)
PrePaid Plan 3 ($2,200 for 10,000)
Custom
Sub Account
FraudGuard (.05 per transaction)
3D Secure ($395)
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7
Upload Application Form
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8
Add to Salesforce
Yes
No
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9
Return eMail Address
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10
Merchant ID (Sub Accounts Only)
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11
andrew.baillie@securepay.com.au
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