Merchant Application Form

 
Company Name*
English*
繁體中文
Certificate of Incorporation

Business Registration Number

Company Type
Please specify:
Registered Address*
Street 1

Street 2

Street 3

District
Region
Trading Name*
English*
繁體中文
Doing Business Address* Same as Registered Address
Street 1

Street 2

Street 3

District
Region
Head Office Name

Is Subsidiary of

Head Office Address Same as Registered Address
Street 1

Street 2

Street 3

District
Region
HQ Contact Number

HQ Fax Number

Director Information
Director Name 1

HK ID Number / Passport 1

Director Name 2

HK ID Number / Passport 2

Director Name 3

HK ID Number / Passport 3

Contact Person*
Name

Service Type*
Mobile Number
+852
Retail
Email Address

Mail Order Telephone Order
Desired User ID

Recurring
E-Commerce Corporate Website
Monthly Projection Transaction

Monthly Projection Amount
Existing Acquirer (if applicable) Card Installment Plan
Acquirer Name
Yes
Service
No