Merchant Application - Merchant Advice

Application Form

Company Name

Company Number

Business Email

Business Phone

Website Link

Number of company directors

Business Type / Industry

Do you currently process payments?

Yes

Copy of business bank statement

Choose File

Director Information

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Post Code

Country

Proof of address

Choose File

Copy Of ID

Choose File

Director 2 Information

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Post Code

Country

Proof of address

Choose File

Copy Of ID

Choose File

Director 3 Information

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Post Code

Country

Proof of address

Choose File

Copy Of ID

Choose File

Director 4 Information

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Post Code

Country

Proof of address

Choose File

Copy Of ID

Choose File

Competition Details

Please provide details of the first 3 competitions your are running.

Competition 1

Prize Value

Competition 2

Prize Value

Competition 3

Prize Value

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