Get StartedFill out our pre-qualification form How Did You Hear About Us? ---Word of MouthGoogleFacebookOnline AdOther Other: Your Name Your Email Your Phone Company Name DBA / Trading Name (optional) Company Street Address Company City, State, Postal, Country Country of Incorporation ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofColombiaComorosCongoCook IslandsCosta RicaCote d'lvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern CyprusNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint-BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth SudanSpainSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Description of products or services Web Site URL(s) Test Username Test Password Customer Support Number Customer Support Email Method of Acceptance (must equal 100%) % Web/online sales % MOTO/call center % Swipe/POS Target Markets (must equal 100%) % USA % Europe % Asia % Latin America % Other This business needs credit card processing. This business is currently accepting credit cards. How long have you been accepting credit cards? Current Payment Service Provider(s) Reason for Change I can provide 3 months processing statements: ---yesno Monthly Credit Card Total Sales Volume Average Single Transaction Highest Single Transaction (Please include currencies (eg USD, EUR, GBP). If you are a startup please use projected figures.) This business needs eCheck processing. This business is currently accepting eChecks. How long have you been accepting eChecks? Current Payment Service Provider(s) Reason for Change I can provide 3 months processing statements: ---yesno Monthly eCheck Total Sales Volume (in USD) Average Single Transaction Highest Single Transaction (If you are a startup please use projected figures.) This business needs SEPA direct debit processing. This business is currently accepting SEPA direct debit. How long have you been accepting SEPA direct debit? Current Payment Service Provider(s) Reason for Change I can provide 3 months processing statements: ---yesno Monthly SEPA Direct Debit Total Sales Volume (in EUR) Average Single Transaction Highest Single Transaction (If you are a startup please use projected figures.) This business needs China UnionPay processing. This business is currently accepting China UnionPay. How long have you been accepting China UnionPay? Current Payment Service Provider(s) Reason for Change I can provide 3 months processing statements: ---yesno Monthly China UnionPay Total Sales Volume Average Single Transaction Highest Single Transaction (Please include currencies (eg USD, EUR, GBP). If you are a startup please use projected figures.) This business needs Latin America processing. Monthly Latin American Total Sales Volume (in USD) Average Single Transaction Highest Single Transaction (If you are a startup please use projected figures.) This business needs local bank transfer processing. Monthly Local Bank Transfer Total Sales Volume Average Single Transaction Highest Single Transaction (Please include currencies (eg USD, EUR, GBP). If you are a startup please use projected figures.) This business needs crypto currency processing. Monthly Crypto Currency Total Sales Volume Average Single Transaction Highest Single Transaction (Please include currencies (eg USD, EUR, GBP). If you are a startup please use projected figures.)
