Merchant Program | Quick Ewallet Solution

Personal Information

First Name *

Last Name *

Email Address *

Date of Birth

Job Title *

Nationality

ID Number

Type of ID

Country

Street Address

Region *

City or Town

Postal Code

Is there another owner, partner, officer, or director applying?

YesNo

Business Information

Business Name

Legal name of business, if different *

Website URL

Main Business Phone Number

Customer Statement Phone Number

Country

Street Address

City or Town

Region *

Postal Code *

Business description *

Business Type

In general, how many days does it take to provide your product/service?

When are your customers charged?

Business Registration Number

Business Started Date`

Where is your company based?

Which countries in USA are you looking to sell?

Website or Apps Platform

What is your company's monthly revenue in USA?

How would you like to be contacted by Quickewallet? *

Processing Information

Do you offer subscriptions? *

Industry of your company *

Refund Policy *

Projected annual credit/debit card volume

Typical transaction amount

Largest expected transaction

Are you currently processing credit cards? *

Banking Information

Bank account holder name

Name of Bank

Country

Street Address

Region

City or Town

Postal Code

Account number

ACH/ BIC/ IBAN Code

Have you processed transactions with Emoneywallet before?

File Attachment

No file chosen

( Kindly Attach your company Registration Certicates & Filled Document + All directors Passport/National IDs copies)