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Please fill out the following short application to the best of your knowledge. We will contact you within the next 24 business hours to review the best possible merchant account fit for your business. The application process is free and there is no cost or obligation. No information that you supply will be shared or sold to any other party.

Contact information

Full name
E-mail address Please dont use yahoo.com email, they filter out our emails
IM (ICQ, MSN, QQ, Skype)
Street
Zip or postal code
City
State
Country
Phone
Fax

Company information

Company name
Year of incorporation
Country of incorporation
Brief description of the services/products
Monthly gross sales/turnover ($)
Average transaction amount ($)
Monthly % of chargebacks
Your current/previous processing company
How did you find GSPAY?

Website information

Describe your business
Website URL (with http://)
Customer service email

Password selection

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Password
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GSPAY Limited. All rights reserved
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