Review & Approval

This form will help us evaluate your business to determine what type of account we can provide you
with and the rates that will apply.

Company profile

Please complete this section for the company applying for the merchant account.

1. Company nameAs it is mentioned in the corporate documents.

2. Doing business as (if other than legal name)

3. Country of incorporation

4. First Name

5. Last Name

6. Phone number

7. Email address

Please fill in the above contact details for the authorized representative filling the application.

Business profile

1. Detailed description of products/services sold Please explain the business model.

2. Website(s) / URL(s)(separated by comma)

Customer login details (if applicable)
3. Username

4. Password

5. First line descriptorHow to appear on customers’ statement; max 22 characters, for example website or company name.

6. Second line descriptormax 12 characters, for example city or customer support telephone number.

7. Will you use ‘dynamic descriptor(s)’?Dynamic descriptor allows to customize on a transaction level the merchant name and location as they appear on the cardholder's statement and SMS from the issuing bank.

YesNo
If yes, a list of all descriptors and related website(s) should be provided below, If no, please proceed to question 8.

8. What transaction type(s) do you require?
E-commerceRecurringCFT/OCT

CFT/OCT transaction type designed for real-time money transfers to customers. Service is not available for Visa cards.

9. When does the payment take place?
Upon purchaseOn deliveryOther
if other, Please specify

10. What is the delivery time for goods/services, upon purchase?Total should equal 100%.

Immediately

Within 4 weeks

Within 5-14 weeks

More than 14 weeks

11. Have you previously accepted credit/debit cards? YesNo
If yes, for how long? (in months)

12. Have you ever been flagged or in violation of any card scheme program?
E.g.: excessive chargebacks, BRAM violation, account data compromised, MATCH list. YesNo
If yes, please provide details. If no, proceed to next question

13. Please provide 6 months of the most recent processing history below.History should clearly show transactions, chargebacks and refunds per month.Specify the applicable currency for the volumes below
Last month 2 months ago 3 months ago 4 months ago 5 months ago 6 months ago
Number of transactions
Transaction volume
Number of chargebacks
Chargeback volume
Number of refunds
Refund volume
14. What is the origin of transactions?Where do cardholders come from; total should equal 100%.

EEA1

CIS2

Asia

USA3

Rest of the world

1EEA member countries:
The EEA countries are Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France,
Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland,Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the UK.
2CIS:
The Commonwealth of Independent States are Armenia, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan
3USA:
The United States of America

Security measures

1. Describe all security measures and fraud/chargeback handlingE.g.: Do you verify customers’ identities? How is access to customers’ accounts being secured? Do you have a chargeback analysis process in place? Do you have anti-fraud procedures in place? Is a negative cardholder database (record of cards that have fraud/chargeback or negative history and all transactions are checked against it) maintained? Do you have velocity controls (limitation of the number of times the credit card can be used in a given day/week/month, or a limitation on the amount spent) in place?

2. Do you process secure transactions?If yes, how is the percentage split? If no, please proceed to section E.

3D secure
Non-3D secure

Processing currencies

1. Please indicate the desired processing currency(ies)The currency(ies) in which your products/services are sold.Please note that the settlements to the ConnectPay IBAN account will be in EURO only.

Contact details

General contact (primary)


First name and last name

Email

Telephone number

Technical contact


First name and last name

Email
Telephone number
Financial contact


First name and last name
Email
Telephone number
Risk contact


First name and last name
Email
Telephone numberPlease include country code

Proof of address

Proof of address required for every beneficial owner owning >25% of the company: such as internet, electricity, water and gas bills or bank statement, not older than 3 months

Soft copy via email only

Please note that ConnectPay reserves the right to ask for additional documentation at its discretion in order to satisfy its regulatory obligations. Additional requirements may apply for certain applications, regions, business types, and so on.

Website requirements

Website/URL checks are performed to ensure that any processing URL is compliant with card scheme best practices. The following items must be present on the entire website and specifically on the payment page and purchase process:

1 Contact information The legal name and registered address of the applying company should be clearly visible on the website, e.g. Terms and conditions and/or ‘Contact us’ section and/or the footer of the website
2 Terms and conditions Should be clearly described on the website and accepted when opening an account and/or during checkout
3 Policies Refund/Return policy, Shipping and Return of Goods policies are clearly described, Privacy policy is clearly presented
4 Card logos Should be clearly visible on the website before or during checkout
5 Proof of domain ownership The applying company or the UBO must own the domain. The owner of the domain (registrant) should be visible on Who is. If this is not the case, please provide an invoice from the hosting company confirming ownership of the respective URL/s
6 “Billed as” descriptor Must be clearly displayed during the checkout process

Data protection and declaration

In relation to the GDPR (General Data Protection Regulation) and other applicable legal acts ConnectPay will process the data provided in this online application and any other data which you subsequently give to us in any manner in order to fulfill the agreements between customer and ConnectPay, for the following purposes:

  • To provide, develop or improve our products and services, or otherwise for legitimate business reasons;
  • For internal assessment and analysis (e.g. automated profiling, market and product analysis);
  • If we are under a duty to disclose or share your data to comply with any legal or regulatory obligation; or to protect our rights, property, or safety of our employees, customers, or others. This includes exchanging information with other companies and organizations for the purposes of fraud protection.

Please note that your personal data may, for the above purposes, also be disclosed to, or shared with, other entities in the ConnectPay group of companies, and other third parties entrusted with providing ConnectPay with due diligence, software development and maintenance, and payment processing services.

ConnectPay may periodically request you to re-confirm the above data, you should inform us immediately if any such data has changed. You have the right to ask us to inform you about the personal data we hold about you, and to request the correction or erasure of that data in accordance with ConnectPay Privacy Policy.

From time to time, we would like to inform you (by post, telephone, fax, e-mail or other electronic means) about our future products and services.

To opt-in to receive such information, please tick this box

ConnectPay respects your privacy and will not share your personal data with third parties for marketing purpose.

For more information please refer to our Privacy policy.

Please ensure that your application form and supporting documentation is complete and correct.

By submitting this form, you confirm that all information provided is accurate and truthful and you consent to credit and information verification checks being performed.

IMPORTANT NOTICE: to apply for a merchant account, you will also have to open an IBAN account for business with ConnectPay. In case your IBAN account application will be rejected, we will not be able to offer you our merchant services.