Your Contact Details

Full Name

Phone *

Email *

Company Details

Company

Company Number (If Ltd)

Company type (Sole Trader, Ltd, Partnership

Date of Incorporation

Website URL

Business Type & Description

Registered Address

Registered company address

Registered Company Post Code

Country

Goods & Services

Annual Turnover

Annual Card Turnover

Average Transaction Value

Pricing Options

PAYG

Pay Monthly

Online Ordering

Ownership Details

Main Owner / Shareholder

Name

Tel No.

Date of birth

Country of Residence

Nationality

Home Address

Home Post Code

Any other Shareholders with > 25% shareholding

Yes

Number of Directors

Upload File(s)

Please upload your driving license & business bank statement. A passport can be used as an alternative to a driving license, but we will then require another proof of home address document like a recent utility bill.

For Limited companies, please upload identification for each company Director & >25% Shareholder.

Upload File(s)

Signature

Clear

Application Notes: