TALENT PAYMENT SERVICES

CLIENT ACCESS APPLICATION

To apply for online access to TPS, please fill out the following details and submit it. You will be contacted by email once your application has been processed.

Personal Details

Fields marked  require an entry.

• *Name:   Required
• *Phone:   Required
• *Fax:
• *Cell:
• *Email:   Required Invalid Email Address

Agency Details

• *Name:   Required
• *Address:   Required
• *Access Grantor:   Required
• *Email:   Required Invalid Email Address
• *Phone:
• *Fax: