Make an Eftpos Booking Booking Form To make a booking with eftposhire.co.nz please complete the form below and click the "Continue" button. It doesn't matter if you can't fill out all the fields, just give whatever information you have available. First Name* Family Name* Note: Please give your first name and family name in that orderBusiness Name (if applicable) Phone* Email* Your Street Address* Street Address Address Line 2 City ZIP / Postal Code Delivery Address (ONLY IF DIFFERENT TO ABOVE) Street Address Address Line 2 City ZIP / Postal Code Type of machine For contactless and credit card-capable machines there are extra costs. Not sure what machine you need? Click here for more information Eftpos and debit cards only. Eftpos, debit cards and credit cards. No contactless.. All cards. Contactless enabled. All cards. Contactless enabled. 3% credit card surcharge added. All cards. Contactless enabled. "No credit cards" sticker. All cards. Contactless enabled. "No credit cards" sticker. 3% credit card surcharge added. Point of Sale System if required. This is a simple POS system. It does not connect to the eftpos terminal. CHECK. If you have selected ":Yes": do you actually want a Point of Sale terminal? If you are not sure what a Point of Sale system is please refer to the left hand side bar on the Home Page. Yes No Bank account number* This is the bank account into to which all transacted funds will be paid. Merchant number If you are using your own merchant number record the terminal number in this box It will be an 8 digit number. IMPORTANT: This number must not be in use on another terminal. If you need advice on this please call or email.Number of units requested*12345678910 or moreStart Date* DD slash MM slash YYYY This is the date you will actually start using the machine. It will be delivered the previous day. Overnight use after midnight until 6a.m. counts as a one day hire. End Date* DD slash MM slash YYYY This is the last day you will actually be using the machine. If you use the machine after midnight but no later than 6am the next morning then please enter End Date the same as Start Date. Do you want to take insurance cover?* Yes No Insurance is $5 per day / $10 per week / $20 per monthDo you want to customise the header of the printed receipts Yes No Cost $15 per machine. Maximum 20 characters per line. Please supply the information to be printed. Note: Make sure you provide the correct information. It cannot be changed after delivery. Maximum 20 characters per line.Header Line 1 Header Line 2 Header Line 3 Please leave any other comments you would like to make here: