All Points Payments- Merchant Account Application Company Information Legal : DBA - Doing Business As: Companies House - Incorporation Number: Street: Post Code: City: Country: Phone: Which Products or Services shall be distributed? Please confirm if you operate as a sole trader or a Ltd company? Industry: Ltd Company Sole Trader If the industry in which your company falls under requires a licence, please provide us with a copy of this. Company Company VAT ID Date of Incorporation/Formation : Director/Board Member/Authorized Representative First : Private : Line 1 LICENCE PROVIDED NO LICENCE REQUIRED Line 2 City Post Code Contact number Contact Persons General Contact
Accounts Department Contact for Technical Matters Contact for Transaction Processing Contact for Fraud Other Contact(with description) Company Owner First : Company Director - 1st Director First : Company Director - 2nd Director First : Company Director - 3rd Director First :
1st Ultimate Benificial Owner / Share Holder - (Please only list persons / co. holding 25% of shares or more) First : Amount of shares held as a percentage: 2nd Ultimate Benificial Owner / Share Holder - (Please only list persons / co. holding 25% of shares or more) First : Amount of shares held as a percentage: 3rd Ultimate Benificial Owner / Share Holder - (Please only list persons / co. holding 25% of shares or more) First : Amount of shares held as a percentage: Website Company - URL: Shop-URL ( Please provide us with a full list of all websites / URLs which you will use): URL:Test Site -If your website is not yet live, please provide Beta Test site details URL:Test Site For Membership ServicesIf your website is not yet live, please provide Beta test login and password together with the Beta test site. Subscription Models Do you offer subscriptions/memberships? If yes, please provide us with a test log in and password: If yes, what subscription periods do you offer? % of your total volume dedicated to Annual subscriptions % of your total volume dedicated to Quarterly subscriptions % of your total volume dedicated to Monthly subscriptions Transaction & Processing Do you require Recurring billing? Will you require 3D processing? Which channels do you use for the receipt of orders? Please list the card types in which you would like to process: Please note all currencies which you would like to be able to transact in: Please note all currencies which you would like to be able to settle to: PCI Compliance Annual With 3Dsecure Website Quarterly Without 3Dsecure MOTO Monthly Other Visa Mastercard Amex JCB Maestro
Are you PCI Compliant? NB: Delivery / Spend Lead Times (How long after placing an order does it take for the customer to receive or use your product/service?) % goods or services delivered within 0-3 days % goods or services delivered within 7 days % goods or services delivered within 14 days % goods or services delivered within 30 days % goods or services delivered within 45 days % goods or services delivered within 60 days % goods or services delivered within 75 days % goods or services delivered within 90 days % goods or services delivered > 90 days Processing History Are you currently processing card payments? If you answered '' to the above, please provide us with copies of your latest 6 months processing statements. It is important to note that our compliance team will not accept self created documents. If you are new to card processing and answered '' to the above, please complete the below table with your estimated forcasted figures for the coming 12 months. Sales Information - Annual Volumes Sales from. of Transactions Sales Total o fsales (EUR/GBP) Domestic Sales Intra Sales (Within EU) International Sales Total Visa Total MasterCard Total Other Card Total Credit Card Total Debit Card Please estimate your Average Sale Value (GBP/EUR VALUE) Sales Information - Annual Volumes % split of card traffic that is moto versus ecomm Please Confirm if 3DSecure is in place for ecomm Please Confirm if If CVV2 is obtained Number of merchant ID s Required % split of card traffic processed on a domestic, intra (within Europe excluding merchant country as this is domestic) and Inter (international) issued card Please estimate your Average Sale Value (GBP/EUR VALUE) Further or Questions
Transasciton Currencies Settlement Currencies Please clarify exactly what currency you would like your transactions to be settled in if you are operating multi currency: EURO, Sterling, US Dollar Descriptor (What will be displayed customer card statements) Descriptor 1 (max.22 characters): Descriptor 2 (max.13 characters): Banking Information (Bank Account for Settlements) If you would like to settle to multiple currency accounts please provide all account details Account Holder (, first name): Bank sort code: Account Number: Bank Code / SWIFT (BIC): Bank name and location: IBAN: Contact person at bank ( name and telephone number) Reference field: Recipient of the Payout Information Telephone number E-mail address Service Providers Webhoster Current Payment Provider (If more than one, please list all)
Call Center service Shopping Cart Provider