Pre-Approval Form

As an online business owner to ensure the success of your business by allowing it to accept credit card payments. Apply now and get approval within 24 hours; there are no charges or future obligation if you fill out this form.

If you require any assistance with filling of the form, Contact Us.

Review an Application Procedures and Required Documents List for a Merchant Account Approval.

Business Info/Company Registration

Business/Company Name:

Registration Number:

Address:

City:

ZIP/PostCode:

Country

Years in Business:

Contact Info:

Full Name:

Role/Position Held:

E-mail:

Phone:

Products/Services Info:

Websites:


Business Description:

Time of Delivery:


Advertising Methods:


What is your Refund Policy:

Processing Volume Estimates:

Currency this relates to:

Monthly Volume:

Number of transactions per month:

Average transaction value:

Processing History:

Accepted Credit Cards Before?

Your Current Processor:

Annual CB Count:

Annual CB Amount:

Merchant Account Terminated?:


If Yes, provide full details:

Settlement Currency:


Additional Information:

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