Payment solutions enquiry form Please complete the form below if you'd like to find out more about our payment solutions, and a member of our Payment Solutions team will contact you within the next 48 hours. Alternatively, please phone 0800 888 066. What products are you interested in? (Please select all relevant options) Eftpos Terminal Eftpos/Debit cards Credit cards Contactless Currency Choice Eftpos terminal rental Online Internet Mail Order Telephone Order (MOTO) Batch Manual Zip Zap Mail/Phone/Fax order Contact details Your title Please select Mr Mrs Miss Ms First name Last name Business trading name Business legal name Phone and email Primary contact number Mobile number Email address Used to contact you about your application About your business Website URL What type of goods/services do you sell? Are you a current Westpac customer? Please select Yes No Any additional notes?