◇ Merchant Application

Merchant Information

WebSite URL
What type of Website Solution are you using?
(ex: PrestaShop, Magento, WordPress, ETC)
Merchant Name :
Company Registration Number :
Country in Corporation :
Business Type :
Address :
Phone Number :
E-Mail :
Desired Descriptor
(max 25 characters, ex: Company name, phone #, Domain)
CEO's Name :

Are the followings visible on the website?

The Company Name and Address
Terms & Conditions
Privacy Policy
Statement on Transaction Security
Shipping Policy
What are your shipping time frames?

Is delivery tracking available?
Return Policy
Do you have a free trial membership?
Card Brand Logos
(ex: VISA, MASTER, JCB)
Do you offer a recurring billing model?
(ex: monthly auto payments)

Sales Information

Describe all products/services sold on the website
In What geographical areas will your products be sold/services offered?
Processing Currency
Desired Settlement Currency
Last Year Sales Volume
Average Ticket Volume
Percent of Foreign Transaction
Estimated Monthly Volume

Transaction History

Last Month 2 Months Ago 3 Months Ago 4 Months Ago 5 Months Ago 6 Months Ago
Sales Volume
Number of Transactions
Chargeback Volume
Number of Chargebacks
Refund Volume
Number of Refunds