Merchant Introduction Form S-INTERIO
*
Required fields
Legal Name
*
Trade Name
Business Sector
*
Online Betting
Forex Exchange
Adults Content
E-Commerce
Other:
Country of Incorporation
*
License Type (if applicable)
License Number + Country
Legal Opinion + Country
Countries to connect
&
Estimate Monthly Volume
in USD
(Check and complete with numbers)
Argentina
$
Bolivia
$
Brazil
$
Chile
$
Colombia
$
Costa Rica
$
Dom. Republic
$
Ecuador
$
El Salvador
$
Guatemala
$
Honduras
$
Mexico
$
Panama
$
Paraguay
$
Peru
$
Uruguay
$
Venezuela
$
Other
$
Website URL
*
Integration Platform
*
Praxis
Paymid
Leverate
Akurateco
Other:
Contact Name
*
Contact E-mail
*
Submit Form
S
S-interio
Payment Service Provider