Merchant Online Application 03

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					Online Application

Applying for a Merchant Account has never been easier. Just fill out our online form,
click submit and a e-Payment Team representative will contact you immediately to
help finish the application process.
Please enter your business or partnership information below:

Merchant Information
Organization Name:
                                * Required
Commercial Registration Number:
                                * Required if Private Sector

Type of Business:

Business Address (Street):
                                * Required
                                * Required
Telephone :
                                * Required

                                * Required

Please describe your business, merchandise sold or services: * required

Contact Person
                                * Required
Mobile :
                                * Required
Fax :
                                * Required
Email :
                                * Required
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When User Click on Submit all the information required to be passed to the following email