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* Note: If you are experiencing an issue with your file size in a required field, use this image (right click, Save As) as a filler and after sending the form, email the required documents to [email protected]* Reference: "Merchant account verification", your email address, full name, and type of document that you have attached.
Legal business name OR your full name for a personal account * (required)
Business Operating Name * (required) (If same as legal name, please enter the legal name again)
Business/Corporate ID Number (Tax ID, Business ID, Document Number) * (required) (Please enter "Not Applicable" if you're not a business)
Business Formation Country * (required) (Please enter "Not Applicable" if you're not a business)
Business Tax Residence * (required) (Please enter "Not Applicable" if you're not a business)
Business Domicile * (required) (Please enter "Not Applicable" if you're not a business)
Business Formation Date * (required) (Please enter "Not Applicable" if you're not a business)
Business Phone Number * (required) (Please enter "Not Applicable" if you're not a business)
Industry * (required) Agribusiness/Food SystemsAviationConstructionEntertainmentFinancial InstitutionsHealthcareHeavy IndustryMarineNatural ResourcesPharmaceutical / ChemicalProfessional ServicesPublic SectorRailwayReal EstateTechnologyTruck
Please describe your business, and your customers/clients (in as much detail as possible) * (required) Description of your business and your customer/clients
Please provide the address where your business is legally registered
Country * (required) Select your countryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe
Address * (required)
City * (required)
State * (required)
Zip / Postal * (required)
Please ensure that your website or business profile is online and publicly accessible before submitting your verification.
Phone number * (required)
Email * (required)
Website or business profile
Please provide the full, legal name and date of birth of the beneficial owner of this business or individual registering account.
First name * (required)
Last name * (required)
Date of birth * (required)
Please select the account type that you require. You can settle your payments in cryptocurrency or choose to have payments settle in the fiat currency of your choice. * If settling in cryptocurrency, the MERCHANT MUST PAY THE FEES.
Settle in FiatSettle in crypto
Please select your transaction fee account settings. You can select end user pays fee (0% to you the merchant) or merchant pays transaction fee. * If settling in cryptocurrency, the MERCHANT MUST PAY THE FEES.
Merchant pays feeEnd user pays fee
Front of Photo ID (Drivers License, Passport, Gov. Issued ID) * (required) Clear full ID on dark background Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted)
Back of Photo ID (If using Passport, upload doc twice) * (required) Clear full ID on dark background Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted)
Biometric Verification (Photo) * (required) Please upload a selfie holding your ID that you supplying for verification, and a piece of paper with todays full date. Must be a clear photo where all 3 elements are visible (Face, ID and Paper) Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted)
Incorporation documents (If you are a business, you must provide incorporation documents in order to get verified) Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted)
P.O.A (Proof of address) * (required) (You must provide a PERSONAL proof of address in the form of a utility bill, cell phone bill, government bill or credit card bill. It must be dated within 3 months of todays date, with your current address, full name and date visible in order to get verified)Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted)
