MCB Bonaire

Business Information

How long have you been banking with us?

Years *

Months *

Account Number:*

Type of business? *

Merchant name (DBA or trade name)*

Legal name*

Address*

Neighborhood*

Years at this location*

Business telephone number*

Mobile number*

City *

E-mail*

Chamber of commerce number*

Business hours*

Visible name Display at location *

Yes

Type of business and merchant or services sold (E.g. Clothing)*

Name (owner/director)*

Identification number*

Telephone number*

Address*

Place of Birth*

Please upload your KVK (Chamber of Commerce) here*

Please upload a copy of your ID here*

Estimated Monthly Deposit Volume

Monthly*

US$

Number of transactions*

Average Sales Draft Value*

US$

Types of Services

Which service do you require? *

POS Retail Terminal

PAGOmatiko (Only for existing Merchant)

Event

Type of Terminal

What's your credit card acceptance preference? *

Desk 3500 - Monthly fee US$ 28.00 (Internet)

Desk 3500 With Desk 1500 - Monthly fee US$ 28.00 (Internet)

Move 2500 - Monthly fee US$ 56.00 (wireless machine)

Move 5000 - Monthly fee US$ 56.00

By event special price

Card Service Accepted/Recommendation

Maestro

Kompa Leon

Visa/Mastercard

Discover / Diners

Amex

Important Information

I/We understand that if any of the above information is subsequently changed or modified that I/We must notify the BANK within five (5) business days of said change.

Yes, I agree*

By submitting this form I agree that the BANK may use that information to establish and maintain my/our relationship with the BANK and to offer any services as permitted by law.

Yes, I agree*

When you have filled in all the appropriate fields of the form, Click on the SUBMIT button, You will be contacted shortly by one of our officers. Thank You!

For more informtation please contact us at 715-5520 or merchantsales@mcbbonaire.com.

Date*

E-mail*

Merchant Services

Merchant Application Form