Short Term Booking — Eftpos Systems Limited

01

Your details

We'll use these to confirm your booking and arrange delivery.

First name *

Family name *

Mobile number *

Email *

Your booking confirmation and receipt will be sent to this email.

02

Your identity

As shown on your ID — driver licence or passport.

First name *

Last name *

Date of birth *

How will you verify your ID?

NZ Driver Licence NZ Passport

Licence number *

Licence version *

Licence expiry *

Front of your driver licence * ⬆ Click or drop a file to upload — PDF, JPG or PNG, up to 10MB

Back of your driver licence * ⬆ Click or drop a file to upload — PDF, JPG or PNG, up to 10MB

Passport number *

Passport expiry *

Photo page of your passport * ⬆ Click or drop a file to upload — PDF, JPG or PNG, up to 10MB

03

Address & delivery

Start typing your address and select it from the list.

Address *

Your billing / contact address.

How would you like to receive the terminal?

Collection or courier *

Collect from us Courier to me

Pickup from 6 Highgrove Lane, Totara Vale, Auckland — by appointment only.

Courier delivery address *

The terminal will be couriered to this address ahead of your start date.

Is this a rural delivery address? *

Yes No

Rural addresses need extra courier transit time — this pushes your dispatch date 3 days earlier and adds a rural surcharge.

Do you need a return courier ticket? *

Yes No

A pre-paid label so you can send the terminal back without arranging your own courier.

Special delivery instructions (optional)

04

Hire & dates

Event start date *

Event end date *

Number of units requested *

Type of machine *

Mobile network performance Eftpos Systems Ltd cannot guarantee the performance of the mobile network. No deductions from hire fees will be made as a result of network performance issues.

WIFI network requirements Eftpos Systems Ltd cannot guarantee the performance of the WIFI network. No deductions from hire fees will be made as a result of network performance issues. The WIFI network provided must support single-factor authentication — no login page or secondary verification step.

Installation requirements Live power and a live ethernet port with a suitable internet connection must be available within 1m of the proposed installation position.

Merchant / settlement details

Do you have a current Paymark Merchant Number? *

Yes No

Paymark Merchant Number

Unsure

Upload a historical EFTPOS receipt * ⬆ Click or drop a file to upload — PDF, JPG or PNG, up to 10MB

A recent receipt showing your merchant number lets us confirm the correct account on our end.

Confirm the Paymark Terminal ID(s) you'll be using *

One Terminal ID per unit requested, each 8 digits. Every Terminal ID must be unique and not already in use — a conflicting Terminal ID will stop one or more machines from working.

Not sure — please advise

Bank *

Account name *

Settlement account number *

EFTPOS takings settle into this account.

Proof of bank account * ⬆ Click or drop a file to upload — PDF, JPG or PNG, up to 10MB

A bank statement, deposit slip or online banking screenshot showing the account name and number above.

05

Business details

Trading name (if different)

Business structure *

Registered business name *

NZBN (optional — auto-fills from lookup)

Proof of address requirements

We require proof of residential address for all sole traders and partnerships. This can be one of the following:

A New Zealand driver licence that displays your current residential address
A document from a New Zealand Electoral Office
A utility bill — power, gas, water, landline, SKY or internet
A New Zealand council rates notice or valuation
A document from a NZ bank, bank subsidiary, credit union or lending/deposit institution (excludes financial advisors, brokers, money remitters, and BNZ or BNZ subsidiaries)
A document from a NZ insurance company showing a unique policy or reference number (not a quote)
A document issued by a New Zealand Government agency
A residential rental agreement
A document from a NZ superannuation provider with a unique customer/reference number

If a document was sent to an address you don't live at — a PO Box, for example — that's fine, as long as it shows your name and current residential address somewhere in the document.

Proof of address document (optional for now — we'll email you for it if it's missing) ⬆ Click or drop a file to upload — PDF, JPG or PNG, up to 10MB

Your residential address (as shown on the proof of address you provide)

Postal address (if different from residential)

06

Additional notes

Additional notes (optional)

07

Payment details

How this is handled Card details entered here are encrypted in transit and sent directly to our payment gateway — never emailed, never stored on our systems, and never seen by our staff. This field is a visual mockup only; the live version connects to a PCI-compliant hosted payment page.

Cardholder name *

Card number *

Masks automatically once you move to the next field.

Expiry *

CVV *

08

Review & submit

I have read the Terms and Conditions and confirm the information provided is accurate. *

TBC — same Turnstile setup as the contact form; needs your real site key before this goes live.

Duration	—
Rate per unit (ex GST)	—
Units requested	—
Courier freight (ex GST)	—
Rural surcharge (ex GST)	—
Return courier ticket (ex GST)	—
Subtotal (ex GST)	—
GST (15%)	—
Total (incl GST)	—

Book Short Term Eftpos Terminals

Your details

Your identity

Address & delivery

Hire & dates

Business details

Proof of address requirements

Additional notes

Payment details

Review & submit