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Shop2Shop Bank Out Form
Cash Out Form For:
(Required)
Individual
Company
Third Party
Do you have a Shop2Shop Card Device or Drop Safe?
(Required)
Yes
No
Please enter Serial number of Card Machine or Drop Safe
(Required)
Client Details
I instruct Shop2Shop to use the banking details as displayed on the proof of bank account document as the Client’s nominated bank account and to add the bank account details to the Client’s Shop2Shop profile to process cash outs.
Shop Name ("Client")
(Required)
Shop Code
(Required)
Email Address
(Required)
Cell Phone Number
(Required)
Please provide a Whatsapp Number to receive confirmation Message.
Hidden
Do you have a Drop Safe?
(Required)
Yes
No
Hidden
Please enter Serial
(Required)
Third Party Details
Where the Client makes use of a third party’s bank account (thus not in the name of the Client or the Shop Owner), the below needs to be completed and signed by the third party as well:
3rd Party’s Full Name & Surname or Company Name (“Third Party”)
(Required)
Business Registration Number
Director Identity Number
Cell phone Number
(Required)
Email Address
(Required)
Nature of Relationship with Client
(Required)
I give permission that the Client may use my bank account and instruct Shop2Shop to use my banking details as the Client’s nominated bank account and to add the bank account details below to the Client’s Shop2Shop profile to process cash outs. The Third Party agrees that Shop2Shop may make inquiries to confirm any information provided by the Third Party and obtain additional information from any registered credit bureau or any other third-party source (including its bank, Secure Citizen, Dow Jones, Lexis Nexis and CIPC), when verifying the information provided herein. The Third Party authorises Shop2Shop to conduct fraud checks, anti-money laundering checks (the “Checks”), and warrant that all the directors and/or members have consented to the Third Party instructing Shop2Shop to conduct the Checks on the Third Party and that the director and/or members acknowledges that the Check will include an inquiry into the director and/or member’s profile. The Third Party consents to Shop2Shop doing an account verification check to verify that banking details provided, are correct.
Signed at
(Required)
Full Name of Bank Account Holder
(Required)
Signature
(Required)
Proof of Bank Account (not to be older than 3 months)*
(Required)
Copy of Identity Document (If an ID Card is provided, please send a copy of both the front and the back)
(Required)
Third Party Copy of Identity Document (If an ID Card is provided, please send a copy of both the front and the back)
(Required)
CIPC Document
(Required)
Full Name Authorised Representative: (Customer Name)
(Required)
Signed at
(Required)
Signature
(Required)
Client Signature
*The Client is solely responsible for ensuring that its Bank Account Information or that of the nominated third-party bank accountholder is accurate and up to date. Shop2Shop will not be responsible for any payments not received due to the Client’s failure to provide accurate and complete Bank Account Information for payment.
Please note that you require an Active linked Tap2Pay Card Machine, or a Drop Safe to link your Bank Account
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