Eromnet E Commerce Application

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Cross-Border Payment Service Application

Merchant Name   

Company Registration Number   

Country in Corporation   

Business Type   

Address   

Phone Number    FAX

Customer Service E-mail   

CEO's Name   

CEO's Address   

CEO's E-mail   

CEO's Phone Number    FAX

                    
Settlement Bank Information                   

Bank Name   

Account Holder   

Account Number   

SWIFT CODE   

Bank Address   

Percent of Foreign Transaction  North America % Europe % Asia % Others %


Last Year Sales Volume  
Estimated Monthly Volume  
Average Ticket Volume  
Processing Currency  
Desired Settlement Currency  

List all URL(s)  

Desired Descriptor
(max 24 characters):
(ex: Company name, phone # or URL)
         
2 Months
Transaction History Last Month 3 Months Ago 4 Months Ago 5 Months Ago 6 Months Ago
Ago
Sales Volume          
Number of Transactions            
Chargeback Volume            
Number of Chargebacks            
Refund Volume            
Number of Refunds            

You might also like