Global Payments Change Request

Trading Name*

Terminal ID*

8 digits required

Global Payments Contact (email only)*

Ordering Accessories

Paper Rolls (Quantity)

Pack of 5. Maximum 50 per box.

Base Station (Quantity)

For charging and IP connection.

Change of Trading Address or Authorised Contact Person

**provide details of new address below

Address

Address Suburb State Postcode

Contact Name

First Last

Contact Ph Number

Position

Change of Settlement Time

Each terminal is set up for automatic settlement between 21:31 and 23:30 daily AEST. Please advise the ideal time for auto settlement:

AM

PM

Change of Receipt Header

Receipt name must match the Trading name where possible. Restricted to 23 Alpha characters per line (maximum 5 lines including header) including name and location.

Receipt Header

Add Location

Add or Changes to Configuration

SmartConnect (Integration)

On
Off

Tipping

On
Off

Refund

On
Off

Cash Out

On
Off

Surcharge

On
Off

Surcharge (Credit %)

Surcharge (Eftpos cents)

Amex

On
Off

AMEX Merchant Number

(10 digits required)

Additional Terminal

Requirements

Cancellation Request

Contact Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please cancel my terminal effective from

Reason for Cancellation

List any additional TIDs

Comments

This field is for validation purposes and should be left unchanged.