(877) City: State: Zip: Physical Business Address: City: State: Zip:

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "(877)306-3652. City: State: Zip: Physical Business Address: City: State: Zip:"

Transcription

1 / Phone (972) / Fax (818) COMPANY INFORMATION Merchant Company Legal Name: DBA Name: Line of Business: Registered Address: (877) City: State: Zip: Physical Business Address: City: State: Zip: Size of Office Space: Number of Employees: Incorporated Country: Incorporation Date: Registration Number: Federal Tax ID (if applicable): Business Type: Corporation Partnership LLC Sole Proprietorship Other Business License Number: Authority Issuing License: Business Phone: Business Instant Messenger ID (required): COMPANY SHAREHOLDERS (with over 10% ownership) SHAREHOLDER/ BENEFICIAL OWNER SHAREHOLDER/ BENEFICIAL OWNER AUTHORIZED SIGNATORY First Name: Last Name: Percent of Ownership: Title: Address Line 1: Address Line 2: City: State (if applicable): Postal/ Zip Code (if applicable): Country: Photo ID Type and Number: Social Security Number: Phone Number: Mobile Phone Number: Personal Address: CONTACTS TECHNICAL FINANCIAL CUSTOMER SERVICE Name: Phone Number: Address: Instant Messenger ID: FORECASTED INFORMATION Average Ticket Amount: Highest Ticket Amount: Recurring: TRANSACTION DETAILS DAILY WEEKLY MONTHLY Maximum Number of Transactions : Maximum Transaction Volume: Maximum Number of Transactions Per Card: ESTIMATED MONTHLY VOLUME FOR NEXT 6 MONTHS (required) Month 1 Month 4 Month 2 Month 5 Month 3 Month 6 Last Updated June 15, 2012

2 WEBSITE INFORMATION If applying for additional websites, please attach list. List attached? Requested Descriptor: WEBSITE REQUIREMENTS Complete description of goods and services on website? Price(s) displayed? Does the sponsored merchant state that it will attend to customer service request within two working days? Company registered address clearly visible at footer of each page or in contact information on website? Customer support easily available and includes either a web contact form or an address, and a customer service phone number? Privacy policy on website? Return, refund, and cancellation policy on website? Terms of membership on website (if applicable)? Delivery policy (to include export restrictions, if any) on website? Shipping options, delivery timescales, and shipping fees present? Transaction currency(s) displayed? Display of VISA logo? Display of MasterCard logo? Site/payment page is SSL Secured? All products apply to the same MCC? Do the above URL(s) currently accept Visa/MC? Please list currency(s) offered? Describe refund policy: Describe security features and risk management measures (VbV, PCI, fraud scrubbing, etc): Are there any links on website(s) to other sites? If yes, please list link(s) and explain affiliation: WEBSITE DECLARATION I,, with an ID number of, hereby confirm to be owner and authorized signatory of (hereafter referred to as The Company ) operating website(s):. I also declare on behalf of The Company with registration number have full control and authorization of the website content., that the above named website(s) do(es) not offer any illegal content. I attest that I By signing below I acknowledge that I am responsible for the integration process of The Company website(s). I also acknowledge the list of website requirements (above) is necessary for acceptance and compliance. I acknowledge that Processor may require verification of PCI compliance at any time, and accept responsibility for maintaining all website and PCI requirements. Only transactions coming from the above mentioned website(s) will be processed through the Acquiring Gateway and no other business activity from other non-related sites will be processed through this merchant account. AUTHORIZED SIGNATORY SIGNATURE PLACE AND DATE OPERATIONS Do you have customer support? E R S 2

3 If yes, how does it work? Please provide details below: Does your company fulfill/supply orders directly? If no, please list name of supplier(s) and/or fulfillment company(s) below: Company: Address: FULFILLMENT Contact: Name: Telephone: Do you have supplier s agreement(s)? Do supplier(s) have appropriate license(s)? Is product/service fulfilled at the time of the sale? If no, please state the turnaround time from order to dispatch/ delivery time: Methods of delivery: Is insurance offered? How do you prove delivery? PAYMENT AND CURRENCY DELIVERY Please check the type(s) of payment methods requested. Visa Check21 MasterCard ACH Processing type: 3D Secure Non-3D Secure Mail Order/Telephone Order (MoTo) Internet/SSL transactions: % MOTO transactions: % USD EURO Please check the currency(s) in which your products and/or services are sold. GBP MUR Other (please specify) Other payment methods used: Are there any third party agents involved in the payment process that may have access to cardholder data? If yes, please explain. PROCESSING HISTORY Have you processed credit cards for your business in the past, or are you currently processing? How many months of processing? Processing bank s name: Reason applying for new account (if applicable)? Company total annual income (if applicable)? Current chargeback to sales ratio (if applicable)? % Have you been terminated/black listed by a processor (acquirer)? If yes, please list name of processor (acquirer) and reason. 3

4 BUSINESS OVERVIEW Describe your line of business (products/services being sold): Describe your business experience: Please detail all the membership packages and prices available: Do you offer free trial memberships? If yes, please describe free trial membership offer: Do you require registration and credit card details before the free trial membership? (if applicable) MARKETING INFORMATION Targeted markets (country/region)? Legal requirement(s), if any, for operating your business in these countries/regions: Briefly describe the marketing activities undertaken to generate sales: Are sales generated through outbound telemarketing? If yes, who performs the outbound telemarketing? COMPANY BANK DETAILS Bank Name: Account Number: Address: BUSINESS/TRADE REFERENCES (required to provide 3 references) Telephone: 4

5 CONSENT I/we are entering into a business relationship with Processor that is conditional on a satisfactory background check; I/we understand that this information is being collected for the purposes of conducting background due diligence screening and I/we declare that the information provided for this purpose is complete, true and correct, to the best of my knowledge; I/we understand that any incomplete, incorrect or false information furnished by me may disqualify me from this business proposal; I/we agree to allow a background investigation and verification of information, which will be performed by whomever Processor assigns; I hereby authorize the investigator to obtain any information concerning my employment history, education record, consumer credit record, driving record, criminal record, prohibited person information, conditional and absolute discharges that have not been removed from the national criminal records system (in accordance with the Criminal Records Act), and/or any other information in relevant to my potential business relationship with Processor; And I/we represent that no directors, shareholders, authorized signatories or other officials of the Applicant are Politically Exposed Persons (PEP) in terms of law. Processor reserves the right to request more information/documentation. The completion of this Application does not imply acceptance by Processor, which reserves the right at its absolute discretion and without incurring any liability, to decline any Application without having to give any reason for so declining. AUTHORIZED SIGNATORY SIGNATURE: PRINTED NAME: DATE: 5

International Merchant Application Form

International Merchant Application Form COMPANY DETAILS International Merchant Application Form Page 1 of 7 Company Name: DBA (If Applicable) : Registration Number : Country of Registration: VAT/ Tax ID / File Number: Street Address : City /

More information

Merchant Application Form

Merchant Application Form emerchantpay Limited Merchant Application Form Hand written applications will not be accepted. CORPORATION DETAILS European Company Details n-european Company Details If applicable Company Registration

More information

Merchant Application Form

Merchant Application Form Merchant Application Form *Please take note that in order to qualify to become a BookCoins merchant, you will need to first buy silver bullion with the minimum amount of 50,000 grams. CORPORATION DETAILS

More information

CARD-NOT-PRESENT MERCHANT INFORMATION FORM

CARD-NOT-PRESENT MERCHANT INFORMATION FORM F 1486 CARD-NOT-PRESENT MERCHANT INFORMATION FORM Date: Dear Sir/Madam, We thank you for your application for a MCB merchant electronic commerce facility which will enable you to accept Card-Not Present

More information

Merchant Application Form for Credit and Debit Card Payment Gateway

Merchant Application Form for Credit and Debit Card Payment Gateway Merchant Application Form for Credit and Debit Card Payment Gateway MERCHANT PRE-QUAPPLICATION FORM Merchant application form With this intake form you can apply for our online payment solutions. The information

More information

- Last 6 months credit card processing statements OR Last 6 months processing statements for ACH or whatever type of processing previously used.

- Last 6 months credit card processing statements OR Last 6 months processing statements for ACH or whatever type of processing previously used. Internet Merchant Services Application Complete and return by email to netpay@salemanager.com or by fax to 1-904-437-4050. The following documents must be returned with your offshore merchant account application

More information

2015 Submission Requirements / Merchant Application

2015 Submission Requirements / Merchant Application 2015 Submission Requirements / Merchant Application Support Department: Support@PDLmerchantsolutions.com Emai:Support@pdlmerchantsol utions.com 2015 CARD SUBMISSION REQUIREMENTS: Executed PDL Merchant

More information

PAYMENT GATEWAY ACCOUNT AND MERCHANT ACCOUNT SETUP FORMS

PAYMENT GATEWAY ACCOUNT AND MERCHANT ACCOUNT SETUP FORMS PAYMENT GATEWAY ACCOUNT AND MERCHANT ACCOUNT SETUP FORMS Welcome to Authorize.Net, and thank you for choosing us for your e-commerce transaction needs. To complete the setup of your Authorize.Net account,

More information

PAYMENT GATEWAY AND MERCHANT ACCOUNT APPLICATION FORM

PAYMENT GATEWAY AND MERCHANT ACCOUNT APPLICATION FORM Return To: Sales Team Fax: +44 (0) 1189 907 301 Email: uksales@authorize.net Telephone: +44 (0) 203 564 4843 PAYMENT GATEWAY AND MERCHANT ACCOUNT APPLICATION FORM Part 1: Fee Schedule for Online Payment

More information

Merchant Services Application

Merchant Services Application Merchant Services Application Important: Every field MUST be filled in. Company Company DBA (doing business as) / trading name: Legal business name: Tax ID number (optional): Business telephone number:

More information

Merchant Application & Agreement Merchant Processing Terms & Conditions

Merchant Application & Agreement Merchant Processing Terms & Conditions Merchant Application & Agreement Merchant Processing Terms & Conditions MERCHANT # (ASSIGNED BY BANK) 100 Throckmorton Street, Suite 1800 Fort Worth, Texas 76102 MCC: MERCHANT APPLICATION & AGREEMENT ASSOCIATION

More information

Fax Cover Sheet and Application Checklist Attention: Craig Storms Company: Authorize.Net

Fax Cover Sheet and Application Checklist Attention: Craig Storms Company: Authorize.Net Fax Cover Sheet and Application Checklist Attention: Craig Storms From: Company: Authorize.Net Date: Fax Number: (801) 492-6546 Total No. of Pages (including cover): Reseller Reseller ID: 11296 Checklist

More information

Fax Cover Sheet and Application Checklist. Checklist for Submitting an Authorize.Net Payment Gateway and Optional Merchant Account Set-up Form

Fax Cover Sheet and Application Checklist. Checklist for Submitting an Authorize.Net Payment Gateway and Optional Merchant Account Set-up Form Fax Cover Sheet and Application Checklist Attention: From: Company: Authorize.Net Date: Fax Number: (801) 492-6546 Total No. of Pages (including cover): Reseller Name: Web Spinners, Llc. Reseller ID: 1517

More information

DalPay Internet Billing. Virtual Terminal User Guide

DalPay Internet Billing. Virtual Terminal User Guide DalPay Internet Billing Virtual Terminal User Guide Version 1.2 Last revision: 01/01/2010 Page 1 of 11 Version 1.2 Last revision: 01/01/2010 Page 2 of 11 REVISION HISTORY... 4 INTRODUCTION... 5 A. WHAT

More information

PAYMENT GATEWAY AND OPTIONAL MERCHANT ACCOUNT SETUP FORM

PAYMENT GATEWAY AND OPTIONAL MERCHANT ACCOUNT SETUP FORM AR ID: 102291 Name: IRIS Sytems PAYMENT GATEWAY AND OPTIONAL MERCHANT ACCOUNT SETUP FORM ATTENTION: David Glass Phone Number: 801-492-6509, Fax Number: 801-492-6546, E-mail Address: dglass@authorize.net

More information

Merchant account application form

Merchant account application form SECTION 1 OPERATIONS / ASSET COMPANY INFORMATION Legal Name Street Address Zip/Postal Code City Country Telephone Number Fax Number Owner* Shop URL** Corporate URL*** *- Must be the same person as detailed

More information

Thank you for choosing Kudos!

Thank you for choosing Kudos! Thank you for choosing Kudos! Our goal at Kudos is to provide the most dependable, most straight forward, and most cost effective payment processing in the industry. The next step in the process is to

More information

BPay1804 MERCHANT APPLICATION

BPay1804 MERCHANT APPLICATION BPay1804 MERCHANT APPLICATION MY INFORMATION OWNER 1 OWNER 2 (IF APPLICABLE) First Name Last Name First Name Last Name Business Title Ownership Owner's of Birth Business Title Ownership Owner's of Birth

More information

Volume PLANETAUTHORIZE PAYMENT GATEWAY. vtiger CRM Payment Module. User Guide

Volume PLANETAUTHORIZE PAYMENT GATEWAY. vtiger CRM Payment Module. User Guide Volume 2 PLANETAUTHORIZE PAYMENT GATEWAY vtiger CRM Payment Module User Guide S A L E M A N A G E R M E R C H A N T S E R V I C E S User Guide and Installation Procedures Information in this document,

More information

AIB Visa Purchasing Card Application Form

AIB Visa Purchasing Card Application Form AIB Visa Purchasing Card Application Form 1. Business Customer Details ALL applicants must complete this section in BLOCK CAPITALS. Specific Business Details Business Type: Sole Trader Limited Company

More information

6. Merchant must use one of the BOV approved Payment Gateways. A list with the contact details of these gateways can be provided.

6. Merchant must use one of the BOV approved Payment Gateways. A list with the contact details of these gateways can be provided. Bank of Valletta p.l.c. 58, Triq San Żakkarija, Il-Belt Valletta VLT 1130 - Malta Co. Reg. No. C 2833 E-Commerce Merchant Account Application Form CONDITIONS FOR APPLICATION CS 25 (5/2013) 30 1. Kindly

More information

Ed John Phone: 805.443.1828 Fax: 805.277.8130 Email: EdJohn@amsvt.com

Ed John Phone: 805.443.1828 Fax: 805.277.8130 Email: EdJohn@amsvt.com Thank you for the opportunity to earn your business. Please fill out the below application and fax it, and all the needed items to me. You only need to fill out the items in RED, everything else will be

More information

REAL ACCOUNT APPLICATION FORM

REAL ACCOUNT APPLICATION FORM REAL ACCOUNT APPLICATION FORM To use the MasterCard Payment Gateway you must have a Merchant ID number for e-commerce with one of the Acquiring Banks that we connect to. To use the MasterCard Payment Gateway

More information

Billing Direct Rates for EFT & Credit Card Processing: Canada

Billing Direct Rates for EFT & Credit Card Processing: Canada Billing Direct Rates for EFT & Credit Card Processing: EFT Canada CREDIT CARD I have read and understood the above rates x 3500 Blvd. de Maisonneuve W., Suite 700 Tel (866) 826-8003 sales@optimalpayments.com

More information

Version 1.0 STRATEGIC PARTNER TRAINING MANUAL

Version 1.0 STRATEGIC PARTNER TRAINING MANUAL Version 1.0 STRATEGIC PARTNER TRAINING MANUAL Table of Contents Introduction... 3 Features of the Strategic Partnership... 3 Responsibilities... 3 Billing... 4 Gateway Service... 4 Risk... 4 I. PRODUCTS/SERVICES...

More information

Giving Pricing and Merchant Account Information. Monthly Billing Pricing. Additional Merchant Account Fees

Giving Pricing and Merchant Account Information. Monthly Billing Pricing. Additional Merchant Account Fees ServiceU Corporation 60 Germantown Court, Suite 202 Cordova, TN 38018 901.869.5000 FAX: 901.869.5010 Giving Pricing and Merchant Account Information The ServiceU giving system allows you to accept financial

More information

Contact Phone: City of Johnston Head Office Address: Contact Name: Owner/Partner/Officer Name: Title: % of Ownership: Phone Number: Tax ID: DOB:

Contact Phone: City of Johnston Head Office Address: Contact Name: Owner/Partner/Officer Name: Title: % of Ownership: Phone Number: Tax ID: DOB: APP1601 File #: 1280454 Page 1 of 12 Form# 037 MERCHANT PROCESSING APPLICATION Merchant # File # 1280454 Loc. 1 of 1 TELL US ABOUT YOUR BUSINESS/OWNER'S INFORMATION Your DBA/Outlet Name: CITY OF JOHNSTON

More information

As defined in The Architects Act, 1996 2 (q), practice of architecture or architecture means:

As defined in The Architects Act, 1996 2 (q), practice of architecture or architecture means: TO: FROM: RE: All Licence to Practice Applicants Janelle S. Unrau, Executive Director Licence to Practice Application Requirements and Instructions As defined in The Architects Act, 1996 2 (q), practice

More information

Fax Cover Sheet and Application Checklist Attention: Sarah Oldham Company: Authorize.Net

Fax Cover Sheet and Application Checklist Attention: Sarah Oldham Company: Authorize.Net AR ID:10739 Fax Cover Sheet and Application Checklist Attention: Sarah Oldham From: Company: Authorize.Net Date: Fax Number: (801) 492-6546 Total No. of Pages (including cover): Reseller Reseller ID: 10739

More information

Registration and PCI DSS compliance validation

Registration and PCI DSS compliance validation Visa Europe A Guide for Third Party Agents Registration and PCI DSS compliance validation October 2015 Version 1.1 Visa Europe 2015 Contents 1 Introduction... 4 1.1 Definitions of Agents... 4 2 Registration

More information

Third Party Agent Registration and PCI DSS Compliance Validation Guide

Third Party Agent Registration and PCI DSS Compliance Validation Guide Visa Europe Third Party Agent Registration and PCI DSS Compliance Validation Guide May 2016 Version 1.3 Visa Europe 2015 Contents 1 Introduction... 4 1.1 Definitions of Agents... 4 2 Registration Process...

More information

Nationality: Passport No: Occupation: Tel No: Fax No: Email: Nationality: Passport No: Occupation: Tel No: Fax No: Email:

Nationality: Passport No: Occupation: Tel No: Fax No: Email: Nationality: Passport No: Occupation: Tel No: Fax No: Email: Foundation Order Form No. 35 Barrack Road, Suite 202, P.O. Box 2391, Belize City, Belize, C.A. 1. Jurisdiction 2. Foundation Name 1. a. Please give three (3) names, in order of preference: b. Purpose of

More information

Business Account Application

Business Account Application Business Account Application Individuals, partners and owners of a business must be eligible for membership or be a member(s) in good standing of Philadelphia Federal Credit Union before opening a business

More information

Glossary. Account number

Glossary. Account number Glossary Note: All definitions listed in this section are also available in the Course Glossary. You can access the course Glossary online by clicking the Glossary link in the Materials section of the

More information

Merchant Account Glossary of Terms

Merchant Account Glossary of Terms Merchant Account Glossary of Terms From offshore merchant accounts to the truth behind free merchant accounts, get answers to some of the most common and frequently asked questions. If you cannot find

More information

Terms of Agreement. For our drop ship only dealers, there are no minimum purchases; however, the annual purchase amount of $5,000 will apply.

Terms of Agreement. For our drop ship only dealers, there are no minimum purchases; however, the annual purchase amount of $5,000 will apply. Terms of Agreement Minimum Purchases Orders with new or current merchants must be greater than 5 (five) Kayaks to qualify as a dealer of Oru Kayak, Inc. Accounts with annual purchases of less than $5,000

More information

Merchant Integration Guide

Merchant Integration Guide Merchant Integration Guide Card Not Present Transactions Authorize.Net Customer Support support@authorize.net Authorize.Net LLC 071708 Authorize.Net LLC ( Authorize.Net ) has made efforts to ensure the

More information

Powering e-commerce Globally. What Can I Do to Minimize E-Commerce Chargebacks?

Powering e-commerce Globally. What Can I Do to Minimize E-Commerce Chargebacks? Powering e-commerce Globally What Can I Do to Minimize E-Commerce Chargebacks? Chargebacks are not going away. And now there are new rules. Selling products and services online and using credit cards for

More information

OnSite 7.0 Setting Up A Merchant Account

OnSite 7.0 Setting Up A Merchant Account OnSite 7.0 Setting Up A Merchant Account ShopWorks 1655 Palm Beach Lakes Blvd. Ste 640 West Palm Beach, FL 33401 Ph: 561-491-6000 Fx: 561-491-6001 Rev. 01 Last Updated: 3/12/09 Table of Contents Introduction...

More information

MERCHANT SERVICE APPLICATION

MERCHANT SERVICE APPLICATION MERCHANT SERVICE APPLICATION MERCHANT INFORMATION Merchant Name Merchant Domain Name DBA Name Business Type Merchant Currency Merchant Country Business Registration No Paid Up Capital Registered Business

More information

ACS Technologies/ServiceU Information Sheet for Credit Card and ACH/EFT

ACS Technologies/ServiceU Information Sheet for Credit Card and ACH/EFT ACS Technologies/ServiceU Information Sheet for Credit Card and ACH/EFT ACS Technologies has partnered with ServiceU to take the pain and confusion out of the process of setting up your Web site to accept

More information

Merchant Guide to the Visa Address Verification Service

Merchant Guide to the Visa Address Verification Service Merchant Guide to the Visa Address Verification Service Merchant Guide to the Visa Address Verification Service TABLE OF CONTENTS Table of Contents Merchant Guide to the Visa Address Verification Service

More information

For internal use only LLC QUESTIONNAIRE

For internal use only LLC QUESTIONNAIRE v15 For internal use only Client name KAM or Internal contact Referred by: Pricing specification: Invoicing specification LLC QUESTIONNAIRE Please note that only a fully completed, duly signed, English

More information

Visa Merchant Best Practice Guide for Cardholder Not Present Transactions

Visa Merchant Best Practice Guide for Cardholder Not Present Transactions Visa Merchant Best Practice Guide for Cardholder Not Present Transactions Table of Contents Section 1 About This Guide 03 Section 2 Merchant Procedures 05 Section 3 Authorisation 07 Authorisation Procedures

More information

UO Third Party Credit Card Processing Request

UO Third Party Credit Card Processing Request UO Third Party Credit Card Processing Request To protect customer cardholder data and comply with Payment Card Industry (PCI) rules, Third Party Service Providers and Payment Applications used to process

More information

HSBC Merchant Services

HSBC Merchant Services Service Schedule 1. This Card Processing Agreement is made between us: HSBC Merchant Services LLP ( HMS ) of 51 De Montfort Street, Leicester, LE1 7BB and you: (name of company/partnership/sole trader)

More information

Merchant e-solutions Payment Gateway Back Office User Guide. Merchant e-solutions January 2011 Version 2.5

Merchant e-solutions Payment Gateway Back Office User Guide. Merchant e-solutions January 2011 Version 2.5 Merchant e-solutions Payment Gateway Back Office User Guide Merchant e-solutions January 2011 Version 2.5 This publication is for information purposes only and its content does not represent a contract

More information

Ti ps. Merchant. for Credit Card Transactions. Processing Tips CARD ONE INTERNATIONAL INC

Ti ps. Merchant. for Credit Card Transactions. Processing Tips CARD ONE INTERNATIONAL INC Merchant Processing Tips Ti ps for Credit Card Transactions CARD ONE INTERNATIONAL INC Card One International Inc - Merchant Processing Tips for Card Transactions Page 1 of 11 Merchant Processing Tips

More information

By placing an order with International Checkout Inc. and / or using its website, you agree and are bound to the Terms & Conditions below.

By placing an order with International Checkout Inc. and / or using its website, you agree and are bound to the Terms & Conditions below. By placing an order with International Checkout Inc. and / or using its website, you agree and are bound to the Terms & Conditions below. 1. How It Works International Checkout Inc. ( we / us ) has agreements

More information

Netswipe Processing Implementation

Netswipe Processing Implementation Netswipe Processing Implementation Direct Integration with Jumio s Payment Gateway Revision History Version Date published Description 1.0.0 November 22 nd, 2011 Initial release. 1.0.1 January 12 th, 2012

More information

REMOTE DEPOSIT SERVICES APPLICATION

REMOTE DEPOSIT SERVICES APPLICATION REMOTE DEPOSIT SERVICES APPLICATION Add Change Delete LEGAL BUSINESS INFORMATION Legal Business Name: Legal Tax ID #: Legal Business Address: City: State: ZIP: Mailing Address: City: State: ZIP: Legal

More information

Merchant Business Solutions. Protecting business against credit card fraud.

Merchant Business Solutions. Protecting business against credit card fraud. Merchant Business Solutions. Protecting business against credit card fraud. Version 4.0 May 2011 Contents Protect your business 3 Authorisation 4 Chargebacks 5 Verification of Purchaser 6 Types of goods

More information

Merchant Account Set-up Guide

Merchant Account Set-up Guide Merchant Account Set-up Guide The payment process and your merchant account There are two major components necessary to accept card from your customers. The first is a merchant bank account and the second

More information

Executive Summary. Guidelines on Merchant and ISO Underwriting and Risk Monitoring MARCH 2014 COUNSEL DEVELOPED BY

Executive Summary. Guidelines on Merchant and ISO Underwriting and Risk Monitoring MARCH 2014 COUNSEL DEVELOPED BY TM MARCH 2014 Guidelines on Merchant and ISO Underwriting and Risk Monitoring Executive Summary DEVELOPED BY www.deanarich.com COUNSEL Venable LLP Jeffrey D. Knowles Ellen Traupman Berge Leonard L. Gordon

More information

PayPal Website Payments Pro and Virtual Terminal Agreement

PayPal Website Payments Pro and Virtual Terminal Agreement >> View all legal agreements PayPal Website Payments Pro and Virtual Terminal Agreement Last Update: Oct 22, 2013 Print Download PDF This PayPal Pro / Virtual Terminal Agreement ("Pro/VT Agreement") is

More information

ACCOUNT OPENING FORM. CUSTOMER INFORMATION (Please fill in where applicable) Customer Name Registration N BRN: Registration Date

ACCOUNT OPENING FORM. CUSTOMER INFORMATION (Please fill in where applicable) Customer Name Registration N BRN: Registration Date ACCOUNT OPENING FORM Domestic Company Global Business / International Company / Investment Fund Parastatal Body Club / Association Societe / Partnership FOR OFFICE USE ONLY CIF NO. ACCOUNT NUMBER/S CUSTOMER

More information

Online Payment Processing Definitions From Credit Research Foundation (http://www.crfonline.org/)

Online Payment Processing Definitions From Credit Research Foundation (http://www.crfonline.org/) Online Payment Processing Definitions From Credit Research Foundation (http://www.crfonline.org/) The following glossary represents definitions for commonly-used terms in online payment processing. Address

More information

Agent Registration. Program Guidelines. (For use in Asia Pacific, Central Europe, Middle East and Africa)

Agent Registration. Program Guidelines. (For use in Asia Pacific, Central Europe, Middle East and Africa) (For use in Asia Pacific, Central Europe, Middle East and Africa) January 2012 Contents 1 INTRODUCTION... 3 1.1 BACKGROUND... 3 1.2 PURPOSE OF DOCUMENT... 4 1.3 WHO NEEDS TO BE REGISTERED?... 5 1.4 WHY

More information

An introduction to CashFlows and the provision of on-line card acceptance services we provide to Young Enterprise companies

An introduction to CashFlows and the provision of on-line card acceptance services we provide to Young Enterprise companies An introduction to CashFlows and the provision of on-line card acceptance services we provide to Young Enterprise companies Q. What is CashFlows? A. CashFlows is a Financial Services company that provides

More information

Electronic Funds Transfer Disclosure Agreement

Electronic Funds Transfer Disclosure Agreement Electronic Funds Transfer Disclosure Agreement Your use of any EFT service offered by the Bank will be governed by this Disclosure and by any separate agreement or disclosure that also applies to the EFT

More information

To apply for a Congregation/Business Stewardship Savings account or a Congregation/Business Fellowship Checking account, please send the following:

To apply for a Congregation/Business Stewardship Savings account or a Congregation/Business Fellowship Checking account, please send the following: To apply for a Congregation/Business Stewardship Savings account or a Congregation/Business Fellowship Checking account, please send the following: 1. Completed and signed LFCU Congregation/Business Deposit

More information

CPA or LPA Firm Permit Renewal Application. RENEW ONLINE AT: www.licensediniowa.gov PEER REVIEW

CPA or LPA Firm Permit Renewal Application. RENEW ONLINE AT: www.licensediniowa.gov PEER REVIEW CPA or LPA Firm Permit Renewal Application July 1, 2016 through June 30, 2017 INDICATE FIRM NAME AND MAILING ADDRESS BELOW: Firm Name: Address: Street City State Zip RENEW ONLINE AT: www.licensediniowa.gov

More information

An access number, dialed by a modem, that lets a computer communicate with an Internet Service Provider (ISP) or some other service provider.

An access number, dialed by a modem, that lets a computer communicate with an Internet Service Provider (ISP) or some other service provider. TERM DEFINITION Access Number Account Number Acquirer Acquiring Bank Acquiring Processor Address Verification Service (AVS) Association Authorization Authorization Center Authorization Fee Automated Clearing

More information

PAY-ME-NOW PAYMENT GATEWAY AND VIRTUAL TERMINAL SOFTWARE RESELLER AGREEMENT. PayMeNow.com Toll Free (800) 223-4097

PAY-ME-NOW PAYMENT GATEWAY AND VIRTUAL TERMINAL SOFTWARE RESELLER AGREEMENT. PayMeNow.com Toll Free (800) 223-4097 PAY-ME-NOW PAYMENT GATEWAY AND VIRTUAL TERMINAL SOFTWARE PAGE 1 OF 7 This Reseller Agreement ( Agreement ) is made effective as of the date set forth below by and between Applied Merchant Systems, Inc.

More information

Required Document Checklist Copy of Voided Check where funds will be deposited and fees withdrawn

Required Document Checklist Copy of Voided Check where funds will be deposited and fees withdrawn Greetings! Welcome to the Frazer Computing s electronic payment program. Provided in partnership with Frontstream Payments, this program will enable your dealership to accept credit card and check payments

More information

General Conditions of Business INET-CASH with Webmaster. (As of August 09, 2013)

General Conditions of Business INET-CASH with Webmaster. (As of August 09, 2013) 1 General Conditions of Business with Webmaster (As of August 09, 2013) A. General Conditions of Business... 2 1. Contract partners, contractual object... 2 2. Relationship between the parties... 2 3.

More information

Ecommerce Setup Wizard Site Setup Wizards

Ecommerce Setup Wizard Site Setup Wizards Ecommerce Setup Wizard Site Setup Wizards ecommerce Setup Wizard Before you begin this wizard you must first set up your ecommerce gateway This wizard will require information that is provided to you by

More information

Name(s): Phone: Email: Emergency Contact & Phone: VIRTUAL MAILBOX AGREEMENT

Name(s): Phone: Email: Emergency Contact & Phone: VIRTUAL MAILBOX AGREEMENT www.dakotapost.net Email: office@dakotapost.net VIRTUAL MAILBOX AGREEMENT Name(s): Phone: Email: Emergency Contact & Phone: Please mark each line with (Y)Yes or (N)No: Authorize DakotaPost to sign for

More information

American Express Card Acceptance Application

American Express Card Acceptance Application American Express Card Congratulations for making a Smart Business Decision! Giving your customers the option of paying with the American Express Card can help your business grow by attracting customers

More information

Instructions for the Business MasterCard Nonprofit Packet

Instructions for the Business MasterCard Nonprofit Packet Instructions for the Business MasterCard Nonprofit Packet STEP 1: Business MasterCard Application and Authorization All fields must be completed in their entirety. Business Information section: Please

More information

Chargeback Reason Code List - U.S.

Chargeback Reason Code List - U.S. AL Airline Transaction Dispute AP Automatic Payment AW Altered Amount CA Cash Advance Dispute CD Credit Posted as Card Sale CR Cancelled Reservation This chargeback occurs because of a dispute on an Airline

More information

Guide to BBPS and BBMS Blackbaud Payment Services and Blackbaud Merchant Services explained.

Guide to BBPS and BBMS Blackbaud Payment Services and Blackbaud Merchant Services explained. Guide to BBPS and BBMS Blackbaud Payment Services and Blackbaud Merchant Services explained. What is BBPS/BBMS? Blackbaud Payment Services (BBPS) is Blackbaud s solution for secure credit card storage.

More information

Credit/Debit Card Processing Requirements and Best Practices. Adele Honeyman Oregon State Treasury Training Specialist

Credit/Debit Card Processing Requirements and Best Practices. Adele Honeyman Oregon State Treasury Training Specialist Credit/Debit Card Processing Requirements and Best Practices Adele Honeyman Oregon State Treasury Training Specialist 1 What? What do I need to know about excepting credit cards? Who s involved, how it

More information

When you are ready to send in your Application, please ensure that you have enclosed the completed application along with all required documents.

When you are ready to send in your Application, please ensure that you have enclosed the completed application along with all required documents. Dear Prospective Client, Thank you for your interest in our company formation services. We are a leading company formation firm offering corporate services throughout the world. Whether you are interested

More information

When checking the status of the Cardholder's Card (card status check) a so-called "zero value authorisation" shall always be used.

When checking the status of the Cardholder's Card (card status check) a so-called zero value authorisation shall always be used. REGULATIONS FOR SALES PAID BY CARD REMOTE TRADING (Card Not Present) (May 2015) These regulations, the "Remote Trading Regulations", apply to sales paid by Card in Remote Trading. "Remote Trading" refers

More information

MERCHANT APPLICATION - COMPLETE ONLINE OR FAX TO 800-771-3821

MERCHANT APPLICATION - COMPLETE ONLINE OR FAX TO 800-771-3821 MERCHANT APPLICATION - COMPLETE ONLINE OR FA TO 800-771-3821 Application Check List: Complete page 1 of application. Sign section 6 on page 1 of application. Sign sections 10 & 11 on page 2 of application.

More information

Return completed applications to: APAC-Texas, Inc. P.O. Box 20779 Beaumont, TX 77720 (409) 866-1444 Phone (409) 866-5541 Fax

Return completed applications to: APAC-Texas, Inc. P.O. Box 20779 Beaumont, TX 77720 (409) 866-1444 Phone (409) 866-5541 Fax Return completed applications to: APAC-Texas, Inc. P.O. Box 20779 Beaumont, TX 77720 (409) 866-1444 Phone (409) 866-5541 Fax APPLICATION FOR BUSINESS CREDIT Date: NOTE: This application for Business Credit

More information

Norristown Bell Credit Union

Norristown Bell Credit Union 1. Required Document Checklist Norristown Bell Credit Union Saving Our Members Money Business Membership Application All documentation listed below is required to open a business account. The highlighted

More information

PocketSuite Terms of Service. Last modified: November 2015

PocketSuite Terms of Service. Last modified: November 2015 PocketSuite Terms of Service Last modified: November 2015 These Terms of Service (these Terms ) constitute the agreement (this Agreement ) between PocketSuite, Inc. (the Company ) and the User (as defined

More information

Hong Kong Company Incorporation Form

Hong Kong Company Incorporation Form 1. Company Hong Kong Company Incorporation Form Proposed name of the Company in order of preference: a. b. c. 2. Nature of Business of the Company Brief description of business activities of the Company:

More information

THIRD PARTY AGENT REGISTRATION PROGRAM

THIRD PARTY AGENT REGISTRATION PROGRAM THIRD PARTY AGENT REGISTRATION PROGRAM Frequently Asked Questions For the U.S., Canada and Latin America & Caribbean Regions General Information Q. What is the Third Party Agent Registration Program? A.

More information

MANDATORY CUSTOMER CREDIT APPLICATION

MANDATORY CUSTOMER CREDIT APPLICATION MANDATORY CUSTOMER CREDIT APPLICATION Dupal Enterprises LLC Telephone» 718-388-8130 67 Metropolitan Ave Fax back to» 718-388-7008 Brooklyn, NY 11249 *Business Information* Ownership Sole Proprietorship

More information

e.service Merchant Services

e.service Merchant Services e.service Merchant Services With Debit Card Filter for Pre-Bankruptcy Credit Counseling Payments 1) Return the following: APPLICATION INSTRUCTIONS PROGRAM CHARGES CREDIT APPLICATION INCLUDE COPY OF 501(c)(3)

More information

Merchant Integration Guide

Merchant Integration Guide Merchant Integration Guide Card Not Present Transactions January 2012 Authorize.Net Developer Support http://developer.authorize.net Authorize.Net LLC 082007 Ver.2.0 Authorize.Net LLC ( Authorize.Net )

More information

WEBSITE TERMS & CONDITIONS. Last updated March 27, 2015

WEBSITE TERMS & CONDITIONS. Last updated March 27, 2015 WEBSITE TERMS & CONDITIONS Last updated March 27, 2015 1. Introduction and Acceptance of Terms & Conditions Running Away Enterprises, LLC, a Delaware limited liability company d/b/a Enmotive ( us, we,

More information

APPLICATION FORM CORPORATE ACCOUNT WITH LOYAL BANK

APPLICATION FORM CORPORATE ACCOUNT WITH LOYAL BANK For official use only Client name Cust. ID Acc. Num. Internal contact Doc. reg. nr.: Condition gr. spec.: Referred by: APPLICATION FORM CORPORATE ACCOUNT WITH LOYAL BANK Please note that only fully completed,

More information

MERCHANT CREDIT CARD PROCESSING APPLICATION AND AGREEMENT PAGE 1 of 2 BUSINESS INFORMATION Taxpayer Identifi cation Number: (9 digits)

MERCHANT CREDIT CARD PROCESSING APPLICATION AND AGREEMENT PAGE 1 of 2 BUSINESS INFORMATION Taxpayer Identifi cation Number: (9 digits) Primary Sales Partner Name and Number: Sub Sales Partner Name and Number: Business LEGAL Name: MERCHANT CREDIT CARD PROCESSING APPLICATION AND AGREEMENT PAGE 1 of 2 BUSINESS INFORMATION Taxpayer Identifi

More information

APPLICATION FOR. License Fee Only. Non- NZTA

APPLICATION FOR. License Fee Only. Non- NZTA C4:08-15 NEW ZEALAND THOROUGHBRED RACING INC PO Box 38386, WMC Telephone: (04) 576 6240 Facsimile: (04) 568 8866 Web: www.nzracing.co.nz Email: licensing@nzracing.co.nz APPLICATION FOR Non- NZTA License

More information

CyberSource Merchant Account Guide. March 2008

CyberSource Merchant Account Guide. March 2008 CyberSource Merchant Account Guide March 2008 CyberSource Contact Information Please visit our home page at http://www.cybersource.com. To contact CyberSource Support, call 1-866-203-0975 (Pacific Time),

More information

Accepting Ecommerce Payments & Taking Online Transactions

Accepting Ecommerce Payments & Taking Online Transactions Accepting Ecommerce Payments & Taking Online Transactions Accepting credit and debit cards is mandatory for Ecommerce websites. This method is fast and efficient for you and your customers and with the

More information

For Card Not Present (CNP) Merchants. Card Acceptance Operating Guide

For Card Not Present (CNP) Merchants. Card Acceptance Operating Guide For Card Not Present (CNP) Merchants Card Acceptance Operating Guide Card Acceptance Operating Guide For Card Not Present (CNP) Merchants With EMS, mail, telephone and Internet card acceptance is a simple

More information

Chargebacks & Retrievals. Expand Your Knowledge

Chargebacks & Retrievals. Expand Your Knowledge Chargebacks & Retrievals Expand Your Knowledge Agenda The Philosophy Dispute Process Overview and Timeline Retrieval Request Overview and Recent Changes/Trends Chargeback Overview and Recent Changes/Trends

More information

advice backed by our knowledge and experience Delta Community Credit Union Business Services distinguished by

advice backed by our knowledge and experience Delta Community Credit Union Business Services distinguished by Delta Community Credit Union is a financial institution with over $3.3 billion in assets. Delta Community Credit Union Business Services distinguished by We are a cooperative, owned and operated by our

More information

Company Information Company Name:

Company Information Company Name: Payment Gateway and Optional Merchant Account Set-Up Form Reseller Name: YLW Consulting Services, Inc. Reseller ID: 6189 PHONE NUMBER: (866)-437-0476 FAX NUMBER: (801) 492-6546 EMAIL ADDRESS: dglass@authorize.net

More information

National Processing Company - Merchant Services Agreement

National Processing Company - Merchant Services Agreement National Processing Company - Merchant Services Agreement 1. Application Type Merchant #: 496 Store #: New Merchant Additional Location 2. Merchant Business Information Business / DBA Name Corporate/Legal

More information

Your guide to epdq moto

Your guide to epdq moto Your guide to epdq moto Contents Introduction Login details for epdq Back Office Configuration, Advanced and Operations Taking a payment Payment response Authorised transactions View transactions Downloading

More information

IT TECHNICAL SECURITY REVIEW CHECKLISTS FOR E-COMMERCE WEBSITES

IT TECHNICAL SECURITY REVIEW CHECKLISTS FOR E-COMMERCE WEBSITES IT TECHNICAL SECURITY REVIEW CHECKLISTS FOR E-COMMERCE WEBSITES Currently there are three University approved e-commerce website configurations: (1) MERCHANT-MANAGED E-COMMERCE IMPLEMENTATION (2) SHARED-MANAGEMENT

More information

Travel Insurance Claim Form

Travel Insurance Claim Form CLAIMAINTS DETAILS Policy Number Departure Date Return Date Title First Name Surname ID / Passport Number Email Address Mobile Number Business Contact No Home Contact No Fax No Postal Address Postal Code

More information

FAX-TO-EMAIL END-USER LICENSE AGREEMENT

FAX-TO-EMAIL END-USER LICENSE AGREEMENT FAX-TO-EMAIL END-USER LICENSE AGREEMENT This Agreement, which governs the terms and conditions of your use of the Fax-to-Email Services, is between you ("you" or "End-User") and ( we, us, our or Company

More information

Automatic Recurring Payment Application

Automatic Recurring Payment Application Automatic Recurring Payment Application Schedule your payment to be automatically charged to your credit card. Just complete and sign this form to get started! Here s How Recurring Payments Work: You authorize

More information