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Merchant Application Form
Merchant (Company) Information
Company Legal Name:
*
Company Trading Name:
*
Company Registered Number:
*
Country of Incorporation:
*
Date of Incorporation:
*
Day
Month
Month
Year
Company Address:
*
Company Phone number:
*
Company Email:
*
Company Website(s) / URL(s):
*
Refund/Return Policy:
*
Legal
Structure
Business Type
*
Is your business regulated?
*
Yes
No
Years of Operation:
*
Choose one
Business Activity
*
Detailed Description of products/services sold:
*
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