This Form provides our merchants with a fast and simple way of ordering consumables and stationary. Simply enter your merchant number and details then select the items and quantity required. Your order will be processed within 48 hours. Comments issues and feedback are also welcome. These will then be directed to the appropriate department and you will be contacted by phone.

Please note : Any purchase orders will be added to your next invoice, unless otherwise requested.

Company Name
Trading Name
Account Number
Merchant Number
Your Name
Select Service Utilised
Select Item and quantity
Ezi - Pay Flyer ( pack of 50 ) $4.50 + GST
Ezi - Pay Application Form Pad no charge
Ezi - Pay Counter Stand $5.25 + GST
Counter Sticker $0.75 + GST
Button Stickers ( Sheet of 6 ) $0.75 + GST
Till Sticker $1.00 + GST
Shelf Hanger $0.75 + GST
Mobile $6.00 + GST + GST
 
Cheque Warranty Merchant Stickers no charge
Cheque Warranty Counter Sticker no charge
Cheque Warranty Window Sticker no charge
Cheque Warranty Shelf Hanger $0.75 + GST  
Cheque Warranty Brochure no charge
Cheque Warranty Decline Slip Pad no charge
Cheque Warranty Claim Form Pad no charge
Cheque Warranty Stamp $24.00 + GST
Debt Recovery - Cheque Form Pad
Debt Recovery - Account Form Pad
 
Comments / Issues / Feedback          
   
   
Submit your request
Clear the form