Merchant Application Form

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Step 3/3

How long have you been banking with us?

Years

Months

Account number

Type of business

DBA or Trade name

Legal name

Address

Neighborhood

Years at this location

Business phone number

Mobile number

City

E-mail address

KvK (Chamber of commerce) number

Business hours

Name visible at location?

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

Name (owner/director)

Identification number

Telephone number

Principals address

Place of birth

Upload copy KvK (Chamber of Commerce)

Only PDF and Image formats are allowed

Upload copy of your ID

Only PDF and Image formats are allowed