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Are you an existing CommBank customer?

Business Details

Used for sending the log-on credentials... please make sure you provide this carefully.

Please make sure the address matches the trader registration/association letter – Medibank registration letter

Please provide an indicative $ figure for the total value of transactions from the range drop down provided, that you’ll be completing with the facility.

Please provide an indicative $ figure for the average size of transaction that you’ll be completing with the facility. 

Would you like Amex enabled on the terminal?

You may be able to accept Amex with a lower rate if you may decide to transact with this. 

Will you be taking payments over the phone/manually keying in card numbers to take payments?

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Product Selection

The Smart Health for Pharmacies remote payments capability is offered to customers who have an existing terminal. 

Do you work at the business location or mobile

Whilst our terminal is mobile, for PHI, transactions can only be completed from the registered location of the business. 

We will give you a call during your preferred two-hour window of choosing.

Things you should know

By submitting this form and giving us your electronic or telephone details, you consent to us using these details to communicate with you electronically, by phone or SMS, including providing updates or reminders regarding the product that you have applied for. If you would like to contact us, you can visit the ‘Contact Us’ section of our website. For information on how we collect and handle personal information including how you can access and collect your personal information, you can visit the  Group 'Privacy statement' section of our website.

You confirm your answers to be true and correct and that we will use this information as part of your application process.

Eligibility criteria, Fees, charges, terms and conditions apply.