Financial OB (AUS)

Financial Onboarding (Australia)

This is a secure form used to complete your billing setup.

Please fill out one form per entity being billed by Mariana Tek. Please note - an authorized signatory must sign and submit the form (see final section).

Legal Entity Information

Are you adding a new studio or launching on Mariana Tek for the first time? *

Adding a new studio

Launching for the first time

Legal Business Name *

What is your business' Trading Name? *

What is your business' ABN? *

Legal Address and Information *

	Information
Address	Information
City, State/Province, Zip	Information
Phone Number	Information
Email (for Billing Notifications)	Information
Website	Information
Customer Service Phone	Information

Billing Information

Is the company's street address the same as its legal address? *

Yes

Studio Address and Information *

	Information
Address	Information
City, State/Province, Zip	Information
Phone Number	Information

Invoices are sent to and paid by: *

I owe multiple studios and would like to receive one invoice and make one monthly payment each month

This Location

Corporate

How would you like your monthly invoices to be structured? *

We are a single studio operation

Please provide one invoice per studio

Please send corporate a single invoice (each studio will be broken out separately)

Other, please specify Other, please specify

Please upload a bank statement. Alternatively, you may provide a letter from your bank confirming the legal entity that has an account and the BSB and account numbers for the account. *

If you do not have a voided check, you may provide a letter from your bank, confirming the legal entity that has an account and the account and routing numbers for the account.

Why do we require this?

We have very high standards surrounding financial data collection, and set in place these verifications to ensure that everything is done ethically. Additionally, Stripe is required by its regulators to collect certain information from account holders to prevent abuse of the financial system, and this requirement varies from country to country. For US customers, Stripe must review an official document that confirms that the Stripe owner and bank account owner names match, as well as the last 4 digits of the account number.

Do you intend to use the same bank account for Mariana Tek billing (listed below) and merchant processing deposits and billing? *

Yes

Please contact me

Authorization Agreement

Account Type *

Checking

Savings

Account Name *

Bank Name *

BSB *

Account Number *

BIC/SWIFT Code *

First Name *

Last Name *

Sign *

clear

Date * +

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the Company in writing of any changes in my account information or termination of this authorization at least 30 days prior to the next billing date.If the payment due dates fall on a weekend or holiday,I understand that the payment may be executed on the prior day.I understand that because this is an electronic transaction, these funds will be withdrawn from my account as soon as the payment is due. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that the Company may at its discretion attempt to process the charge again, and agree to an additional $25 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized payment.I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms agreed upon with the Company.

Sole Proprietor	Partnership	Corporation
LLC/LLP	Non-Profit