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Full Merchant Application

Fill out our full merchant application and upload documents

    How Did You Hear About Us?

    Other:

    First Name

    Last Name

    Your Email

    Your Phone


    Company Profile

    Company Name

    DBA / Trading Name (if different from Company Name)

    Company Street Address

    Company City, State, Postal, Country

    Country of Incorporation


    Director Profile

    Name of Primary Director

    Director Street Address

    Director City, State, Postal, Country

    Director Email

    Director Phone


    Business Profile

    Description of products or services

    Web Site URL(s)

    Test Username

    Test Password

    Customer Support Number

    Customer Support Email

    Method of Acceptance (total must add up to 100%)
    % Web / online sales (e-commerce) % MOTO / call center % Point of Sale (Retail)

    Target Markets (total must add up to 100%)
    % USA % Europe % Asia % Latin America % Other


    Do you need credit card processing?

    Do you currently accept credit cards?

    How long have you been accepting credit cards?

    Current Payment Service Provider(s)

    Reason for Change

    Monthly Credit Card Total Sales Volume
    (If you are a startup, please use projected figures)

    Average Single Transaction

    Highest Single Transaction


    Do you need eCheck (ACH) processing?

    Do you currently accept eChecks?

    How long have you been accepting eChecks?

    Current Payment Service Provider(s)

    Reason for Change

    Monthly eCheck Total Sales Volume (in USD)
    (If you are a startup, please use projected figures)
    USD
    Average Single Transaction
    USD
    Highest Single Transaction
    USD


    Do you need SEPA direct debit processing?

    Do you currently accept SEPA direct debit?

    How long have you been accepting SEPA direct debit?

    Current Payment Service Provider(s)

    Reason for Change

    Monthly SEPA Direct Debit Total Sales Volume (in EUR)
    (If you are a startup, please use projected figures)
    EUR
    Average Single Transaction
    EUR
    Highest Single Transaction
    EUR


    Do you need local payments processing?

    Which Countries/Regions are you looking for local payments processing for?

    Monthly Local Payments Total Sales Volume
    (If you are a startup, please use projected figures)

    Average Single Transaction

    Highest Single Transaction


    Do you need cryptocurrency processing?

    Monthly Cryptocurrency Total Sales Volume
    (If you are a startup, please use projected figures)

    Average Single Transaction

    Highest Single Transaction


    Additional Comments (special requirements, shopping cart or CRM platform used, etc)

    To help us work on your merchant account without delay, please click Submit below and use the Document Uploader in the next step of the application. Thank you!

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