Merchant Facility Application - Australia Important Notes 1. If this application is incomplete, or we have not received all of the required supporting documents, we cannot begin to process your application. If you have any questions about completing this application please call us; IBO Card Services Support: 1300 859 610 (option 3) 2. This application document is only valid for 90 days from the day you sign and date it. If your Merchant Facility is not approved and activated within this time you may be required to submit a new application, and you may be liable for any expenses incurred by Xplore Capital; 3. All IBOships applying must have at least one active email address as all transaction reports and Merchant correspondence will be via email; and 4. This Merchant Facility accepts Bankcard, MasterCard, Visa and American Express cards only and is operated online in real-time via a telephone service (fixed or mobile) or the Internet. There is no Merchant Terminal or device supplied with this facility.
Information Required to Complete this Application ALL applicants are required to provide the following information: 1. Current registered IBO number; 2. Contact details for all individuals/company directors/trustees applying for this facility; 3. Drivers Licence details (non drivers to supply a photocopy of one of the following: current passport, telephone account or rates notice in their name); 4. Registered business trading name & ABN or registered company name, ACN & ABN (if applicable); 5. Active email address; 6. Your Xplore Capital loan number/s (if you are a current mortgage loan client); and 7. Existing Merchant Facility details (another Provider) and photocopies of the previous 6 months statements (if applicable). Merchant Facility Application & Establishment Process The establishment of your Merchant Facility is a three (3) step process that will take approximately twentyone (21) days to complete provided the required information is provided in full and in a timely manner. Step 1: Application 1. 1.Complete the online application, print and forward the Application (this form) with required supporting documentation to: XPLORE CAPITAL 46 Carrington Road Castle Hill NSW 2154 2. The application is checked and processed. If necessary, you will be contacted via email to request additional information; and 3. On approval, a Merchant Facility Offer email is sent, which will include the Merchant Facility Agreement. Step 3: Registration 1. Complete and forward the Agreement (with supporting documentation) to the above address; 2. The agreement is checked and processed. If necessary, you will be contacted via email to request additional information; 3. Your Merchant Account is created and the Annual Merchant Account Fee is direct debited from your nominated bank account; and 4. A Welcome Email is sent which includes your Merchant Account number, initial Security Code and instructions on how to activate your Merchant Account. Step 4: Activation 1. Your Merchant Account must be activated online within 14 days of receipt of the Welcome Email via the Xplore Capital website http://xplorecap.com.au; 2. Follow the instructions outlined in the Welcome Email ; and 3. Once activated, you are ready to commence processing credit card payments via the website or telephone service. Page 2 of 7
Privacy Acknowledgement and Consent I/We acknowledge that I/we have made an application for Credit Card Merchant Facilities from Xplore Capital. Xplore Capital may use the personal information I/we provide for the purpose of providing credit and subject to the provisions of the Privacy Act, I/we may have access to personal information collected and held by Xplore Capital, and the 3rd Party Service Providers noted in the Schedule. I/We may contact these companies for access to my/our personal information held (if any) by contacting the Privacy Officer at the address or in the manner disclosed in the Schedule. Authority to Exchange Information with other Credit Providers In accordance with Section 18N(1)(b) of the Privacy Act, I/we authorise Xplore Capital to give and obtain from credit providers that may be named in a credit report issued by a credit reporting agency, information about my/our credit arrangements. I/We understand this information can include any information about my/our credit worthiness, standing, history or capacity that credit providers are allowed to give or receive from each other under the Privacy Act 1988. The 3rd Party Service Providers will be collecting any such personal information about me/us for the purposes of: Assessing the risk of me/us being unable to meet a liability that might arise under a guarantee entered into, or proposed to be entered into, in respect of Credit Card Merchant Facility given (or to be given) by the 3rd Party Service Provider to another person; Risk assessment and management involving credit scoring, portfolio analysis, reporting and fraud prevention and claim recovery; and Complying with legislative and regulatory requirements. By signing the acknowledgment, I/we agree and consent to the 3rd Party Service Providers using and disclosing the personal information it collects about me/us for the purposes set out above (subject to any restrictions imposed on the 3rd Party Service Providers by Privacy Act 1988). The 3rd Party Service Providers will usually or may disclose personal information of the kind it collects about me/us to: its related companies; insurers; credit reporting agencies; its service providers; its agents, contractors, and external advisers; government and other regulatory bodies; ratings agencies; payment system operators; and other financial institutions, securitisers and credit providers. SCHEDULE 1. In this Notice, the 3rd Party Service Providers means each and every one of the following organisations (whether acting individually or together): IP Payments Pty Ltd ABN 86 095 635 680 Level 2, 37 Little Bourke, Melbourne, Victoria 3000 ValueXchange Pty Ltd ABN 49 107 516 129 1 Temuka Ave, Brunswick East, Victoria 3057 privacy@valuexchange.com.au Amway of Australia ABN 49 004 807 756 46 Carrington Road, Castle Hill, New South Wales 2154 (02) 9843 2000 Page 3 of 7
Applicant Details Applicants personal details must be completed for all individuals currently listed on the IBOship as per Amway of Australia's records. All directors/trustees personal contact details are required if IBOship is registered as a private company or Trust (copy page if necessary). Personal Applicant/Company Director/Trustee Personal Applicant/Company Director/Trustee Title Given Name(s) Title Given Name(s) Surname Drivers Licence Number Surname Drivers Licence Number Date of Birth Marital Status Date of Birth Marital Status / / / / Telephone (hm) ( ) ( ) Telephone (wk) Telephone (hm) ( ) ( ) Telephone (wk) Fax Mobile Fax Mobile ( ) ( ) Email Address Email Address Current Residential Address Current Residential Address Unit Name Unit Name Postal Address (if different to residential) Postal Address (if different to residential) P.O. Box Name P.O. Box Name Previous Residential Address (if less than 3 at current) Previous Residential Address (if less than 3 at current) Unit Name Unit Name Page 4 of 7
Company or Trust Applicant Details (if applicable) To be completed if the registered IBOship is in a private company name or a Trust. Name of Company/Trust Must match registered IBOship details Registered Business Name CAN ABN Name/s of registered Owners/Directors/Trustees Title Surname NOTE: All listed Owners/Directors/Trustees personal details are to be provided (copy page 4 if required). Business Address Unit Name Postal Address P.O. Box Name (if different from above) Business Contact Details Title Surname Given Name/s Position Telephone Fax Email Loan ID Number/s or Loan Number/s Xplore Capital Loan Details (if applicable) Existing Merchant Facility Details (if applicable) To be completed if IBO currently has an existing Merchant Facility from a financial institution. Existing Merchants to provide copies of last six months Merchant Facility statements Type of goods and services sold Period Merchant Facility has been in operation Page 5 of 7
Declaration, Authorisation and Acknowledgement Have you ever had a Merchant Facility refused or terminated by any Bank or under any Card Scheme? No Yes Provide details: I/We declare that I/we are over the age of 18 and the information contained in this application is true and correct in every particular and it is upon this basis that I/we make this application for this Merchant Facility. I/We also confirm my/our agreement to the matters set out above. I/We have read and accept the Privacy Acknowledgement and Consent on page 3 of this form and consent to such use and disclosure of my personal information. I/We understand that I/we may indicate that my/our consent does not apply to the use or disclosure of personal information for your marketing purposes. Print name Date Print name Date Print name Date Print name Date A tick () in the box indicates that I/we do not wish to receive marketing information from Xplore Capital LTD. Page 6 of 7
Checklist & Lodgement Instructions Applicants must provide the following documentation with this Application and forward to: XPLORE CAPITAL 46 Carrington Road Castle Hill NSW 2154 All Applicants Completed pages 4 & 6 (signatures required on page 6), and Legible photocopy of current Australian drivers licence (front & back) for all individuals listed on the application. Non-drivers to provide a photocopy of one of the following: Passport, current telephone account or rates notice in their name. Private Company/Trust Applicants Completed Company and Trust Details section of page 5 and personal details for all directors/trustees (copy page 4 if necessary). Current Xplore Capital Mortgage Clients Completed Xplore Capital Loan Details section of page 5. IBOs with an Existing Merchant Facility (with another financial Institution) Completed Existing Merchant Facility Details section of page 5, and copies of the past 6 months Merchant Facility statements. Application Checklist OFFICE USE ONLY Decision/Action Y N NA Current Amway IBO registration Good Amway trade reference Email Address Identification OK Declaration signed Clear Credit Check Merchant Facility previously refused Loan conduct OK Past 6 months merchant facility conduct OK Merchant Plan BP BEP BEXP BC BEC BEXC Page 7 of 7