e-Path Gateway Application

Congratulations on choosing the e-Path credit card payment gateway.

Please complete this single page online application form. Once you have completed this section you will be taken to our secure e-Path payment page - the system soon to be making online credit card payments possible for your business too!!

Apply for the e-Path Credit Card Payment Gateway Service:


1. Select Gateway Type:
About The Services
Submit Secure - Single Licence Single Licence
$242.00 AU$ incl GST - Yearly Fee
$22.00 AU$ incl GST one time -
Registration
TOTAL: $264.00 AU$ incl GST
Submit Secure - Multiple Licence Multiple Licence
$330.00 AU$ incl GST - Yearly Fee
$22.00 AU$ incl GST one time -
Registration
TOTAL: $352.00 AU$ incl GST
Submit Direct - Single Licence Single Licence
$242.00 AU$ incl GST - Yearly Fee
$22.00 AU$ incl GST one time -
Registration
TOTAL: $264.00 AU$ incl GST
Plus - $176.00 AU$ incl GST one time - Decrypt Program
Decryption program paid under separate cover
Submit Direct - Multiple Licence Multiple Licence
$330.00 AU$ incl GST - Yearly Fee
$22.00 AU$ incl GST one time -
Registration
TOTAL: $352.00 AU$ incl GST
Plus - $176.00 AU$ incl GST one time - Decrypt Program
Decryption program paid under separate cover

2. Gateway Usage:
Gateway Usage
Your Website URL:

Other URL's (if applicable):
e-Path Payment Alert Emails To:

3. Your Details:
Your Details
Your Name:
Your Email Address:
Land Based Phone Line:
Land Based Phone Line Address:
Mobile (if applicable):

4. Your Business Details:
Business Details
Business Name:
ABN (if applicable):
Land Phone:
Fax (iffapplicable):
Mobile (if applicable)
Street Address:
Suburb/Town/Province:
Postcode/Zip:
     State:
Country:

5. Your Merchant Account:
Your Merchant Account
Is your merchant account at your bank approved to allow you to manually charge into it card-not-present credit card payments you may receive via phone, fax or from the internet?
YES
Merchant Account Name, i.e., your business name that appears on your customers credit card statements.

Credit Cards Accepted:
(Cards your merchant account has been set up to accept)
 Visa
 American Express
 Discover
 Mastercard
 Diners Club
 JCB
Other Credit Cards Accepted:


6. Legal Requirements:
Legal Requirements
Do you understand
e-Path's Requirements?
YES   e-Path Requirements
Do you understand and agree to the e-Path TOS & MA?
YES   Terms Of Service/Merchant Agreement
Do you agree to the e-Path Merchant Refund Policy?
YES   e-Path Merchant Refund Policy

7. Send Application Now:
Sending Your Application
Click To Send:


Payment Gateway - e-Path


Please Note:
1. The submitting of this form and authorising payment for service does not constitute the application approval.
2. All applications are pending approval of e-Path Pty Ltd.
3. Your credit card will be charged upon application approval only.
4. In some circumstances it may be necessary for e-Path to request further information to facilitate the processing of applications.
    ecommerce payment gatewayAccept Visa, Master Card, American Express, Diners Club, JCB and all credit card types

    One of the all time great most affordable payment gateways

    e-Path - Australia's most secure payment gateway



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    The e-Path Credit Card Payment Gateway
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    Apply for e-Path Today e-Path exclusively uses THAWTE SSL
    This website makes no determination as to the suitability of the e-Path service for your particular personal or business needs.
    e-Path is an Australian based global provider of the e-Path Internet Credit Card Payment Gateway Service.
    All Rights Reserved - Copyright 2006 - 2009 E-PATH PTY LTD
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