Online Applications Online Merchant Application Form Business Details Trading Name (required) Business Legal Name (required) Choose one of the following --- Sole proprietor Company Partnership Non-Profit TelePhone (required) Website (required) Director Contact Details Full Name (required) Mobile Number (required) Your Email (required) Business Address Street Addess 1 (required) City (required) Country (required) Postal Code (required) State Province (required) Annual Turnover (£) (Actual or estimated) Business Owner Information Title --- Mr Mrs Ms Miss Name (required) Date of Birth (required) Ownership (% of Ownership) Scanned Identity Card, Passport or Drivers Licence Home Address Street Addess 1 (required) Street Addess 2 (required) City (required) Country (required) Postal Code (required) State Province (required) Additional Information Agent Name (Optional) Apply
