Business Registration Form
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Business Name
*
Field Required
Legal Entity Name
*
Field Required
Business Owner Name
*
Field Required
Would you like to sign up your business to use the Pay With PayToday website gateway?
Yes
No
Contact Numbers
*
Field Required
Invoice Email
*
Field Required
Business Email Address
*
Field Required
Business Description
*
Field Required
Payments notification method?
*
SMS
Email
Both SMS and Email
Enter the details of the payments notification method previously chosen
*
What reference should customers enter on purchase?
Town
*
Suburb
*
Street Name
*
Postal Address
*
Business Account Number
*
Account Holder
*
Bank
*
FNB Namibia
Standard Bank Namibia
Nedbank Namibia
Bank BIC
Bank Windhoek
Branch Code
*
Submit