Shop2Shop – Bank Out Form – Shop2Shop Forms

Shop2Shop Bank Out Form

Cash Out Form For:(Required)

Individual

Company

Third Party

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)

Do you have a Card Machine or Drop Safe?(Required)

Yes

Please enter Serial number of Card Machine or Drop Safe(Required)

Hidden

Do you have a Drop Safe?(Required)

Yes

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(Required)

ID Number(Required)

Cell phone Number(Required)

Email Address(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.

Signature Third Party(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)

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.

Full Name of Bank Account Holder(Required)

Signed at(Required)

Signature(Required)

Please note that you require an Active linked Tap2Pay Card Machine, or a Drop Safe to link your Bank Account