Register Interest

What is your company type? What is your company type?Private Limited Company (LTD, Limited)Limited Liability Partnership (LLP)Limited Liability Limited Partnership (LLLP)Limited Liability Company (LLC)Non Profit OrganisationSole Trader/Self EmployedGeneral Partnership

Do you trade within the UK? Do you trade within the UK?YesNo

Do you hold a bank account with one of the following banks? Do you hold a bank account with one of the following banks?AIBBank of IrelandBank of ScotlandBarclaysDanskeFirst DirectHalifaxHSBCLloyds BankM&S BankMonzoNationwideNatwestRBSRevolutSantanderStarlingTescoTSBUlster (NI)Other

Name of Contact

Telephone

Email

Company Number

Company Name

Company Register Address

Date of Incorporation

Date of Incorporation

Directors name(s)

Company trading address

Company website

Industry your company operates in

What does your company do

What does your company sell

Do you sell from a shop/website or both? Do you sell from a shop/website or both?ShopWebsiteBothOther

Which product do you require? Which product do you require?E-commerce (Card Less Checkout)Invoice PaymentsBoth

What was Company turnover in last 12 months? What was Company turnover in last 12 months?£0-£50,000£50,000 - £100,000£100,000 - £250,000£250,000 - £500,000£500,000 - £1,000,000£1,000,000 - £5,000,000£5,000,000 +

What is your average transaction value? What is your average transaction value?£0 - £50£50 - £100£100 - £250£250 - £500£500 - £1000£1000 - £2500£2500 - £5000£5000 - £10,000£10,000 +

How many transactions do you process in a week? How many transactions do you process in a week?0 - 1010 - 2525 - 5050 - 100100 - 250250 - 500500 - 10001000 +

Are your customers, personal or business or both? Are your customers, personal or business or both?PersonalBusinessBoth

How do you currently receive payments? How do you currently receive payments?Card PaymentsBank TransferCashOther

What is your current returns rate %? What is your current returns rate %?0% - 5%5% - 10%10% - 15%15% - 20%25% - 30%30% - 35%35% - 40%45% -50%50% +

What is your company type? What is your company type?Private Limited Company (LTD, Limited)Limited Liability Partnership (LLP)Limited Liability Limited Partnership (LLLP)Limited Liability Company (LLC)Non Profit OrganisationSole Trader/Self EmployedGeneral Partnership

Do you trade within the UK? Do you trade within the UK?YesNo

Do you hold a bank account with one of the following banks? Do you hold a bank account with one of the following banks?AIBBank of IrelandBank of ScotlandBarclaysDanskeFirst DirectHalifaxHSBCLloyds BankM&S BankMonzoNationwideNatwestRBSRevolutSantanderStarlingTescoTSBUlster (NI)Other

Name of Contact

Telephone

Email

Company Number

Company Name

Company Register Address

Date of Incorporation

Date of Incorporation

Directors name(s)

Company trading address

Company website

Industry your company operates in

What does your company do

What does your company sell

Do you sell from a shop/website or both? Do you sell from a shop/website or both?ShopWebsiteBothOther

Which product do you require? Which product do you require?E-commerce (Card Less Checkout)Invoice PaymentsBoth

What was Company turnover in last 12 months? What was Company turnover in last 12 months?£0-£50,000£50,000 - £100,000£100,000 - £250,000£250,000 - £500,000£500,000 - £1,000,000£1,000,000 - £5,000,000£5,000,000 +

What is your average transaction value? What is your average transaction value?£0 - £50£50 - £100£100 - £250£250 - £500£500 - £1000£1000 - £2500£2500 - £5000£5000 - £10,000£10,000 +

How many transactions do you process in a week? How many transactions do you process in a week?0 - 1010 - 2525 - 5050 - 100100 - 250250 - 500500 - 10001000 +

Are your customers, personal or business or both? Are your customers, personal or business or both?PersonalBusinessBoth

How do you currently receive payments? How do you currently receive payments?Card PaymentsBank TransferCashOther

What is your current returns rate %? What is your current returns rate %?0% - 5%5% - 10%10% - 15%15% - 20%25% - 30%30% - 35%35% - 40%45% -50%50% +