BasicsCard Merchant Application form (SS460)

Use this form to apply to become an approved BasicsCard Merchant.

Download and complete the BasicsCard Merchant Application form.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use business online services or contact us. We can help you access, complete and submit them.

Page last updated: 7 December 2020