Dear visitor, By filling this form and submitting it to Widford you will receive back a personalized proposal. You will just have to send documents requested to Widford to be able to accept payment by credit card online on your web site or using our Virtual Terminal. Please provide accurate information. This form is extremely important since Widford council will decide if you are qualified or not to get a Widford Global Encashment Solution, so please care as much as possible when answering to questions.
We hope having your company among our valuable customers soon!
Best regards,
WIDFORD.net team
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| Card processing free quote request |
I want Merchant account to accept payment by VISA and EUROCARD-MASTERCARD on my behalf using WIDFORD gateway
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Please introduce yourself :
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| civility |
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| First name, NAME: |
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| Company |
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| Mail address |
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| Country |
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| E-Mail : |
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| Phone: |
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| Increase your brand recognition, reduce dramatically retrieval request : Choose the company name to appear on your customers' bank account statements : |
| Descriptor |
MAXI 15 caractères |
| Thank you to regard my request as |
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| Widford will carry out an individual study of your file:The minimum discount rate will be 3.5%(VISA and EUROCARD-MASTERCARD cards). The rate will be according to the elements that you will communicate to us in this form, it is thus essential to give precise informations. |
| Which currencies want you to accept : |
EURO
USD
EURO and USD
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| Indicate origin of the orders |
Internet
Phone (Customers call the Company)
Phone (Call center : Company calls customers)
Fax or Mail order
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| Sales are derived from the Internet : URL of web site |
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| Products and/or services sold description |
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| In case of transaction dispute are you able to provide |
Proof of ORDER by the customer with FULL ADDRESS
Proof of product(s) SHIPPING
Proof of product(s) DELIVERY to customer |
| average transaction value (Per card) |
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estimated average credit card processing volume per month
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Cards |
| Do you have any comments in order to have a better knowledge of your Company and activity : |
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I the undersigned certify that all information contained in this application form is true and that it is a true and accurate representation of the above mentioned company.
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