Legal Name

Trading Name (if different)

Specify legal status

Registered Business Address - Street

Registered Business Address – City

Postcode

Principal Place of Business (If different)

Business Landline Phone

Business Mobile Phone

Principal Contact Name

Principal Contact Email

Contact's Phone

signup.date.of.incorporation.dd

signup.date.of.incorporation.mm

signup.date.of.incorporation.yyyy

Company Registration Number

Tax Number

VAT Number

If 'YES' please specify which authority

And the licence number granted from the authority:

Name

Shareholder /Director / Both

% Owned

signup.date.of.incorporation.dd

signup.date.of.incorporation.mm

signup.date.of.incorporation.yyyy

Personal Address

Phone

Email

Company Url

Live IP address

Location of the Cardholders / Account holders

Expected number of cards

BIC / Swift

IBAN (International Bank Account Number)

Sort Code

Account Number

Routing Number

Bank Name & Address

Account Holder Name

Estimated Monthly Loading

Estimated Quarterly Loading

Estimated Yearly Loading

DEPENDING ON THE NATURE OF THE BUSINESS STRUCTURE/MODEL/OPERATION, WE MAY REQUEST ADDITIONAL DOCUMENTATION, AT OUR DISCRETION, TO SATISFY REGULATORY AND SCHEME REQUIREMENTS.

“Thank you for your business account application; we get back to you within 48 hours“

First Name

Last Name

Email Address

DD

MM

YYYY

Birth Department

Birth Town

Document Id

DD

MM

YYYY

Street

Post Code

City

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