Retail
Mail | Phone
Benefits
Internet
Wireless
Check Processing
(1) COMPANY INFORMATION
Branch Company
Legal Company Name
Company URL
Address
Telephone
Fax
Email
Incorporation Date
Trade Register Number
Corporate Company
Legal Company Name
Company URL
Address
Telephone
Fax
Email
Incorporation Date
Trade Register Number
Director/ CEO
First Name
Last Name
Passport Number
Address
Telephone
Fax
Email
Shareholder/Beneficial Owner
First Name
Last Name
Passport Number
Address
Telephone
Fax
Email
Authorized Signatory
First Name
Last Name
Passport Number
Address
Telephone
Fax
Email
(2) Merchant Website
URL
Industry
Product/Service Description
Descriptor* + City Field
*
Choose a descriptor containing a company name of URL name + customer service phone number as city field, which doesn’t exceed 13 digits
Please describe your business model
Today’s Date
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2007
2008
Authorized Signatory
Place
Signature
Company Seal
(3) TECHNICAL SPECIFICATIONS
URL REQUIREMENTS
The company is identifiable at any tie by the card holder:
Select
YES
NO
(select Yes or No)
The company address is presented on the website:
Select
YES
NO
(select Yes or No)
The cardholder is asked for his address and telephone number:
Select
YES
NO
(select Yes or No)
All products comply with the same MCC Code:
Select
YES
NO
(select Yes or No)
Visa’s CVV2 Compulsory:
Select
YES
NO
(select Yes or No)
MasterCards SecureCode Compulsory:
Select
YES
NO
(select Yes or No)
Transaction Currency appears:
Select
YES
NO
(select Yes or No)
Confidentiality promised:
Select
YES
NO
(select Yes or No)
Procedure for cardholder wishing to return goods:
Select
YES
NO
(select Yes or No)
Statement on transaction security:
Select
YES
NO
(select Yes or No)
Appearance of descriptor on statement:
Select
YES
NO
(select Yes or No)
Display of VISA/MasterCard logos:
Select
YES
NO
(select Yes or No)
Display of Price:
Select
YES
NO
(select Yes or No)
Statement regarding fulfillment time-frame (i.e. “7 business days”):
Select
YES
NO
(select Yes or No)
Shipping Policy:
Select
YES
NO
(select Yes or No)
Note about Cardholders’ responsibilities regarding laws in:
Select
YES
NO
(select Yes or No)
(4) RISK MANAGEMENT QUESTIONNAIRE
WHAT PRODUCTS ARE SOLD ON THE WEBSITE?:
Do all products belong to the same MCC code?
Please specify the major countries customers are from.
Are there any specific countries which are blocked? Please detail.
How many items are allowed per single transaction?
Any appropriate privacy/anonymity policy for customers?
Operation of Affiliates programmes? Are they involved in the processing?
Specify manner of customer support operation (mail/phone, hours)
(5) MEMBERSHIP DETAILS
Please detail all membership packages and prices available. Is it recurring? Do you give
Do you offer more than one account per cardholder?
Do you have free trial membership? What is your strategy on end of it?
Do you require registration and credit card details before the free trial membership?
If yes, do you send it for pre authorization?
How do you handle customers who ask to cancel/stop their membership?
(6) PRODUCT SHIPMENT
What are the shipment fees per order?
When is customer charged for purchase (when placing order / when order is shipped / upon receipt of the product)?
What is the delivery time you commit to once the payment has been completed and what is your refund/cancellation policy?
Do customers get a reservation code enabling tracking their product?
Please specify all methods of delivery (UPS, registered mail, etc) Please describe refund and cancellation policy.
Do you offer insurance in case the product is damaged?
Do customers need to pay an additional amount for this insurance service?
Can customers return products within a certain period of time? If so, do they get a full
(7) PAYMENT
Do you use payment methods other than credit card? Please specify.
Do you allow more than one account cardholders?
Do you allow P.O. box as address field? If no, how do you control it?
Are email receipts sent upon order?
How do you handle fraud matters? Please detail any fraud tools you are using
How do you verify customers' identification?
(8)BANKING INFORMATION
Bank Name:
Account Number:
SWIFT / BIC Code:
IBAN Number:
Bank Addresss:
Beneficiary Name:
Beneficiary Address:
PROCESSING INFORMATION
Transaction Currencies:
Settlement Currencies:
Estimated Monthly Volume Amount:
Estimated Monthly Number of Transactions:
Today’s Date:
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2008
Authorized Signatory:
Place:
Signature:
Company Seal:
Processed Credit Cards before:
Select
YES
NO
(select Yes or No)
Former Processor:
Period of Processing with the Former Processor:
Reason of leaving:
