Merchant Information
Merchant Legal Name
DBA
Bank
Country
MCC
MID
TID
Currency
MID
TID
Currency
Card Types
Visa
MasterCard
AMEX
Discover
Website URL
Product/Service
3DS Authentication (Required by Bank )
Yes
No
If 3DS is required please select how to handle payment for the following scenarios:
If 3DS is unavailable, transaction should be processed
If 3DS is unavailable, transaction should NOT be processed
Integration type
API
Hosted Payment Page (HPP)
Shopping Cart Extension/Plugin (if applicable)
Tokenization (with financial authorization)
Recurring
Kount
If you plan to use Kount, please provide number of monthly transaction requests
Technical Contacts
Primary
Email Address
Contact Number
Secondary
Email Address
Contact Number
Business Contacts
Primary
Email Address
Contact Number
Secondary
Email Address
Contact Number
Billing Contact
Address
Email Address
Contact Number
Submit
Should be Empty: