Online Onboarding

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Part 1: Representative Information


Fields with * are required.

Representative Name*



Position*



Contact Number*



Email Address*



Country of origin*



Authorized Signatory Name to Signed Agreement*



Authorized Signatory Position*



Authorized Signatory Email*



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Part 2: Company Information


Fields with * are required.

Company Name*



Industry*



Country of Incorporation*



Registered Office Address*



Registered Trade Name (if applicable)



Company URL



Brief Description of Products and Services*



Current Payment Processor

How long have you been with your current payment processor?



Part 3: In-Depth Operations


Fields with * are required.

Average Ticket Value*



Estimated Monthly Transaction Volume*



Desired Processing Currencies*



Desired Settlement Currencies*



Number of Chargebacks in the Last Three (3) Months



Chargeback-to-Sales Ratio in the Last Three (3) Months



Which of the following is covered by the solution you need? (Choose all applicable)*



Part 4: Wrap-up

Representative Name

Position

Contact Number

Email Address

Country of Origin

Company Name

Industry

Country of Incorporation

Registered Trade Name (if applicable)

Company URL

Brief Description of Products and Services

Current Payment Processor

How long have you been with your current payment processor?




Average Ticket Value

Estimated Monthly Transaction Volume

Desired Processing Currencies

Desired Settlement Currencies

Number of Chargebacks in the Last Three (3) Months

Chargeback-to-Sales Ratio in the Last Three (3) Months

Which of the following is covered by the solution you need? (Choose all applicable)




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