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Short Merchant Application

Financial Information

Company Legal Name

Country of Incorporation:

Company Website(s) / URL(s):

Detailed Description of products/services sold:

Average transaction value in euro €

Estimated monthly Transaction volume in euro €

Highest transaction value in euro €

Have you previously accepted credit/debit cards?

Yes

If yes please provide : Last 3 months statements

Current Payment Service Provider (PSP)

What is your target market:

Regulatory Compliance

Forex /or other activity License Number (if applicable)

Compliance with Anti-Money Laundering (AML) and Know Your Customer (KYC) regulations:

Yes

Describe your risk management procedures and policies

Authorization

I hereby authorize DEFINOVA limited to conduct necessary background checks, verify the information provided in this application, and ensure compliance with applicable regulations.

First name

Last name

Date

Day

Month

Year

Signature

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Get a Quote

Short Merchant Application

Financial Information

Regulatory Compliance

Authorization

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