RCS New Applications

RCS Applications

Please download ONE  of the applications below depending the type of your business.
After you have completed the forms, please send them together with the supporting documents to info@medi-connect.co.za.

After receiving your application forms we will send you the Merchant Agreement which you then need to print and sign and initial. After completing the Merchant document please let us know that the document can be collected from you by our courier. Send us the address, contact person, contact number.
Supporting documents needed:
  1. Copy of all Director’s ID documents
  2. TAX Certificate
  3. VAT Certificate (If you are not VAT registered please send a letterhead from your accountant stating the reason for not being registered)
  4. Company registration document not older than 3 months (If your business is a company)
  5. Stamped bank letter not older than 12 months OR a original cancelled cheque
  6. A slip from any transaction on the card machine(s) you would like to activate for RCS payments.


    1. The Application consists of two sections: Pre-Assessment Form, Application Form
    2. Please download example document of the Merchant Agreement HERE to see how it should be filled in
    3. Make sure you as well as two witnesses initial on the 3 spaces provided on each page of the merchant agreement
    4. Make sure that you sign at the bottom of the Pre-Assessment and Application Form and you as well as two witnesses sign on page 10 and 11  of the Merchant Agreement form.

    Proprietorship/Individual or Partnership

    Company, Close Corporation, Trust etc. (Non-Individual)