Vasco Pay Pre-registration

Company Information

Company Name (as registered by ASIC) *

ABN *

Corporate website

Industry

Full name of account administrator *

Work email *

Work phone number *

Who will be using the cards? *

Card intended use (please be specific) *

Principal place of address *

Company type *

I confirm that I am an authorised person completing this application. I confirm that the information I have provided is true and correct and I have authority to provide this information. I consent to the collection, use and disclosure of my personal information in accordance with Vasco Pay's Privacy Policy and consent to such personal information being disclosed to a credit reporting agency or my information being checked with the document issuer for identity verification purposes in accordance with the AML/CTF Act.