Merchant Application Form
Fill out the form carefully for registration
Company Information
Main Contact Name
*
E-mail
*
Mobile Number
*
Format: (000) 000-0000.
Company Legal Name
*
Country of Incorporation
*
Registered Address
*
Type of Business
*
Please Select
Sole Trader
Limited
Limited Liability Company
Cooperative
Charity
General Partnership
Merchant Website (URL)
*
Line of Business
*
Gaming
FX Trading
Online Casinos
Crypto
CBD
High Value Transactions
Other
Merchant Information
Information to help us understand more about your business and which Acquirer(s) to use
Is your traffic White Listed or FTD's or Both
*
Whitelisted
FTD's
What GEO Locations do you Require to Process Transactions from?
*
Add all locations you require to process payments from
If Casinos, which License do you have in Place Currently
*
For Example - Online casino license might be Curacao
Do you require Alternative Payment Method's
*
Please Select
Yes
No
Please list out in additional comments what APMs you require
Minimum Transaction Amount
*
Min amount processed per transaction
Maximum Transaction Amount
*
Max amount processed per transaction
Estimated Monthly Volumes
*
Monthly processing volumes
Chargeback Percentage
*
We need to keep this under 0.8% generally
Processing History
*
Browse Files
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6 Months Processing History - We need to know sales, refunds and chargeback's
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Additional Comments
*
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Company Legal Name
*
Director information
*
Rows
Director 1
Director 2
Director 3
Service Quality
Cleanliness
Responsiveness
Friendliness
Merchant Information
Information to help us understand more about your business and which Acquirer(s) to use
What Products/Services do you Require to Process Payments
*
Virtual Terminal
Ecom (your gateway)
Ecom (Acquirers Gateway)
Pay by Link
Card Terminal(s)
Required Documents (please tick all the documents provided)
*
KYC Documents
*
Browse Files
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Choose a file
Cancel
of
Processing History
*
Browse Files
Drag and drop files here
Choose a file
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of
Additional questions
Submit
Should be Empty: