| Contact person |
|---|
| | Your first name.
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| | Your last name.
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| | Don't enter a free e-mail address (Yahoo, MSN, etc) if possible.
|
| | Your phone number, including country code and area code.
|
| Business contact |
|---|
| | Full name of your company as in registration documents. If you are a sole proprietorship enter your full name here.
|
| | Company phone number, including country code and area code.
|
| | Street and house number. Apartment or office number if applicable. No PO Boxes please.
|
| | Second part of the address if required.
|
| | If you don't have a ZIP/Postal code enter "none".
|
| |
|
| |
|
| |
|
| Business details |
|---|
| | This is a number of years your company conducts business.
|
| |
Make sure that you include detailed information about products/services that you are going to
sell through the merchant account.
|
| |
If you don't have a website yet please indicate it by writing "none yet".
If you have more than one website enter them all line by line.
|
| Merchant account |
|---|
|
|
If you have any payment processing history (at least 3 month in the last 6 months) choose yes here.
|
| | Give estimate if you are not processing yet.
|
