MERCHANT

APPLICATION

Skype Name:

Phone Number: *

Contact Email: *

Legal Company Name: *

Country of Incorporation: *

Years in Business: *

Description of Products/Services Sold: *

When are the Goods or Services Fulfilled: *

Is a fullfillment house used?

Is a call center being used?

URL(S) THAT WILL BE USED: *

Are You Currently Processing?
Yes No

Current Processor:

How Long with Current Processor/Acquirer? *

Average Transaction Size: *

Est. Monthly Processing Volume: *

DESIRED PROCESSING CURRENCIES: *

Desired Settlement Currency: