Application Form

To start the process please fill out the application form.

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Company Details

DBA name *
Legal business name *
Phone *
Mobile Phone *
URL *
Address *
City *
Country *
Zipcode *
Type of business *
Business start date
Industry *
Tax ID
Business description

Contact details

First name *
Last name *
Phone *
Fax
Email address *
Address *
City *
Zipcode *
Owner date of birth
Owner ID
Name Email address Phone
Technical Contact
Finance Contact
Risk Contact

Processing History

Reasons for leaving Current/Previous PSP/Provider
Current/Previous Acquirer
Current/Previous PSP/Provider
Origin of Transaction
%
Domestic
Europe
USA
Asia
Row
Anticipated monthly volume
Anticipated average transaction amount
Anticipated largest transaction amount
% of Goods Delivered in 0 to 7 days
% of Goods Delivered in 8 to 14 days
% of Goods Delivered in 15 to 30 days
% of Goods Delivered over 30 days
Last Month 2 Months ago 3 Months ago 4 Months ago 5 Months ago 6 Months ago
Number of transactions
Transaction volume
Number of chargebacks
Chargeback volume
Number of refunds
Refund volume

Ownership details

Name Phone Address ZIP City Country Passport/ID SSN DOB
UBO1
UBO2
UBO3
UBO4

Banking Details

Bank routing number
Bank account number
Canceled Check Image
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Processing documentation

To learn more on how you can integrate to our platform and leverage the different types of payment method visit our documentation.

Check out our API

Webservices documentation

Our Webservices will enable you to build your own online shop or mobile application, visit our documentation and learn more about the different services.

Check out our Webservices

SDK documentation

To allow you to take advantage of our webservices quicker we have built our SDK to simplify the integration process for you, check out the documentation to learn more.

Check out our SDK