Form to request data from customers who want payment gateways with cards through Stripe

YOU CAN FEEL SAFE ABOUT SUPPLYING THE REQUIRED DATA IN OUR FORMS:
We have invested in the security of your transactions and data, through our security seals, assuring our site visitors that all data and all transactions are in a secure environment authenticated by one of the Internet’s most trusted and original providers. Certification authorities that can boast of high recognition by the consumer.

Please provide the requested data to create your payment gateway in Stripe and connect with your bank, in order to receive payments through your website.

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COMPANY INFORMATION

Business name or company name:

With the trade name:

Legal name of responsible person:

Nombre

Apellidos

Position Name:

Business phone:

Registered Physical Business Address:

Dirección (línea 1)

Ciudad

Provincia

Código Postal

Company Type:

Company structure:

Taxpayer identification number EIN (VAT or NIF) of the company:

Upload EIN Certificate

Haz clic o arrastra un archivo a este área para subirlo.

If you have your company registered, we recommend that you send us a photo of Form W-9 or Form CP 575, showing that your company is registered with the IRS and certifying the assignment of your tax identification number (EIN).

Industry Sector:

Business activity:

Company website:

Description of the product or service: *

Do you sell physical products?: *

Once the payment is made, how long does it take your customers to receive the goods or services?: *

Description of the charge on the bank statement: *

Name you want to see on your bank statement

Short description: *

Same as above, but abbreviated:

Customer support phone number: *

Physical address for customer support: *