Merchant Application Form

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Pre-Application Information Form

Section 1.Company Information

OWNER / PARTNER / OFFICER 1

SECTION 2. CRYPTO ACCOUNT INFORMATION

SECTION 3. BANK ACCOUNT INFORMATION

Section 4. Additional Information

Documents Required:

W 9 Form
KYC (Know Your Customer):

- Passport

- Utility Bill(Not more than 90 days old)

KYB (Know Your Business)

- Article of Incorporation

- Proof of Domain

Miscellaneous Documents:

- Licence ( If Applicable)

-Other Corps Documents

309 Fellowship Road, East Gate Center | Suite 200| Mount Laurel| NJ 08054

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