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Merchant Intake Form

Email *

First Name *

Last Name *

Mobile Phone *

Phone

Preferred Communication Methods *

E-MailPhoneWhatsApp

Preferred Language *

Have you already spoken with *

Were you referred to us? (Name/Org)

Company Name *

Address *

Region / State / Province *

City *

ZIP / Postal Code *

Country *

Website / URL

Founding Year *

Annual Revenue

Employees

Business Tax Number / EIN / VAT *

Description *

Shopping Carts used *

APICheckout ChampFunnelishMagentoPayment LinkShopifyShopwareWooCommerceOthers

Payment Providers *

2CheckoutAdyenAmazon PayAuthorize.netBlueSnapBraintreeBuy Now Pay LaterCheckout.comCardGateKlarnaMollieNexiNMIPayPalPayeerPayoneerSkrillShopify PaymentsStripeUnzerOther

Reserves

Documents

Last 3 Months of Processing History (Processor & Credit Cards)

PDF/JPG/PNG, up to 10MB each

Business License

PDF/JPG/PNG up to 10MB

Last Three Months of Bank Statements

PDF/JPG/PNG up to 10MB

Government-issued Photo ID / Passport of Shareholders with ≥25%

PDF/JPG/PNG up to 10MB

Supplier Agreement

PDF/JPG/PNG up to 10MB

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At Private Processing, we provide exclusive and secure payment solutions designed to protect e-commerce entrepreneurs from blocked accounts and frozen funds. Our mission is to deliver long-term stability and confidence through a private-banking approach to global payment processing.