Application Form
Application Form
Merchant
application form
Here you'll find all the information you shared with us when
you signed up, so you can double check it's all correct.
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Section 1. About you
Business information
Registered address
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Key principals / Owners
Principal / Owner 1
Personal information
Current address
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Section 3. Your outlets
John Uren
Trading address
Building number -
Contact address
City Bristol
Trading information
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Fulfilment information
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Settlements
This indicates whether, in the ordinary course, certain of our charges and fees, and other amounts
payable by you to us, will be deducted first from settlements due to you (net settlement), or will
simply be invoiced to you monthly instead with no deduction (gross settlement). You'll find more
details about these settlement methods in your merchant terms and conditions and in the FAQs on
our website.
This is the account where we’ll deduct your merchant charges and fees from.
You’ll find more details in your merchant terms and conditions.
Billing address
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Funding bank details
Funding address
Your terminals
NatWest Tap to Pay on iOS
Tips Enabled
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Fee schedule
Monthly costs for your card machines, accessories & services £ 0.00 / month (Excl VAT)
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Section 4. Merchant services charges
Item Price
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Other Charges
Refunds and Chargebacks (Applicable to: Visa, Mastercard, American Express, PayPal & Discover)
Item Price
Refunds Free
Authorisations (Applicable to: Visa, Mastercard, American Express, PayPal & Discover)
Item Price
Authorisations Free
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
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Section 5. Merchant Declaration
• You are applying for the acquiring services and the additional services (if any) you have
selected during the application process.
• You have read, understood and agree to be bound by this merchant application form,
the merchant terms and conditions, any relevant additional service conditions and the direct
debit mandate in relation to your merchant account, which together comprise your agreement
with us.
• The information you have given in this merchant application form is true, accurate and complete.
• You are authorised to sign this merchant application form and enter into this agreement
on behalf of the merchant.
• Your application is subject to further checks by us and we are not obliged to provide you with
any services until the criteria set out in condition 1 of the merchant terms and conditions have
been met.
• As part of these further checks, we may carry out money-laundering checks, credit searches
and fraud prevention enquiries about you and that any record of these searches and enquiries
may be used by lenders and others to make credit and insurance decisions about you and
to prevent fraud.
• If your application is accepted and in accordance with the merchant terms and conditions,
we may require you to provide financial security at any point which may include us establishing
a reserve funded by settlements we would otherwise be required to make to you.
By agreeing and accepting this Merchant Application Form you consent to receiving blended pricing.
This is pricing that's simplified into a few rates rather than broken down for every possible different
transaction scenario (type of card, country it was issued in, transaction type and other factors).
National Westminster Bank Plc. Registered in England and Wales No. 929027. Registered Office: 250 Bishopsgate, London, EC2M 4AA. National Westminster Bank Plc is authorised by
the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. National Westminster Bank Plc is entered on the Financial
Services Register and its Register number is 121878. The Financial Services Register can be accessed at www.fca.org.uk/register. Its registered VAT number is GB 243852752. ‘Tyl
by NatWest’ is a trading name of National Westminster Bank plc.
Clover Services are provided by Marketplace Merchant Solutions Limited. Marketplace Merchant Solutions Limited is incorporated in the Republic of Ireland with registration number
539224 and registered office at Unit 9 Richview Office Park, Clonskeagh, Dublin 14, Ireland.
Page 11 of 11