60 Second Merchant Account Pre-Approval Form

Welcome to World Merchant, please fill in the following form so we can obtain approval in principle based on your business model. You can expect a preliminary response within 24 hours. If we are able to help you we will then contact you for additional documents and information relating to your business.

Please ensure all information provided is accurate, and that estimates given are as realistic as possible. Thank you! * Required

Business/ Merchant Name*

Business owner (s) name (s) and Country of residence*

Contact person name*

Contact Telephone*

Skype Contact*

Email*

Do not use free e-mail services

Enter Email Confirm Email

Is the Business already incorporated? If so, in which country?*

Detailed description of business*

Business Principal URL*

Processing Currencies*

USD
EUR
GBP
Other

Main geographic regions of business?*

Where will most of the business's customers be located

Estimated Monthly Turnover*

In processing currency

Minimum Ticket*

Minimum Price per item

Maximum Ticket*

Maximum price per item

Is processing history of more than 6 months available?*

Yes
No

Additional notes

How Did you hear about us?*

Captcha