Zpayd

Go Bak To Home Check Application Status ?

Basic Details:

Account Type :

Website Link (optional)

Date Trading Commenced ( if applicable )

Date Incorporated ( if applicable )

Legal Business Details

Trading Business Name

Trading Address

Street Address

City

State / Province

Postal Code

Business Phone

Business Fax

Contact Name

Owner/Partner/Director/Officer Details:

First Name

Last Name

Position

Date of Birth

Address

City, State / Province, Post Code

Phone

Banking information for Funding, Fees and Chargebacks:

Account Holder Name

Bank Routing OR IBAN Number

Account Number

Bank Name

Bank Address

Payment Advice:

Payment Advice Remittance

Payment Expected Monthly Volume in $

Types Of Cards:

-> Credit cards

-> Visa

-> MasterCard

-> Private Label Cards

Expected Monthly Visa Volume in USD$

Expected Monthly Mastercard Volume in USD$

Expected Other Cards Volume in USD$

What percentage of Credit Card sales are Commercial as opposed to Consumer?

Credit Card sales to Business ( % )

Credit Card sales to Consumers ( % )

Please confirm that goods/services are delivered prior to billing

Refunds: Please note, Zpayd does not process any refunds, should there be a billing dispute, biller takes full responsibility to deal with their own respective billing clients.

Chargebacks: In case of a chargeback due to unresolved dispute, Zpayd will pass on the chargeback to the biller and if unable to recover funds, will hold account funds until dispute is resolved.

Business Summary

Recent Bank Statement

Provide Business License/Articles of Incorporation

Affiliator ID ( Optional )

By submitting this Biller Payment Processing Application Form, the Biller acknowledges having received, read and understood the terms contained under the transaction documents ( the “Transaction Documents”) , which is comprised of the Application, the Privacy Statement and Consent which are found at merchant.zpayd.com), the General Terms and the Operating Guide and warrants that any individual signatory is authorised to execute this application on behalf of the company.