Name: Brandkits
Price range: $

Please complete this form if you wish to update the trading address, legal address, or dispute/chargeback address as well as contact phone and email addresses.

Merchant Details

Business Name

Merchant ID

First Name

Last Name

Email Address

Phone Number

Trading Address

Search Address

Address 1

Address 2

Suburb

Postal Code

State

Country

New Details

Details to be updated

Tick the relevant option/s. New addresses cannot be a PO Box. Proof of a new trading address must be submitted with the form.

Dispute/Chargeback

Legal Address

Trading Address

Upload Proof of Address

Any one of the following is suitable as proof of address:

A copy of a letter from a financial institution/utility bill
A copy of lease agreement
A print out/photocopy of a listing in the White or Yellow Pages
A Memo in the letter stating that they are listed in the Electronic White or Yellow pages and the search criteria. (e.g. Electronic White Pages, Type Miss Mauds in the suburb of Joondalup)

New Contact Details

First Name

Last Name

Phone Number

Email Address

New Trading Address

Authorisation

Director / Partner / Sole Proprietor / Authorised Representative

By signing this form I/we authorise PayNuts to action this request.

Full Name

Date

Signed by authorised signatory

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Support / Requests

Change Contact Details

Merchant Details

New Details

New Contact Details

Authorisation

Director / Partner / Sole Proprietor / Authorised Representative

Related

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