Distance business

We will gladly provide you with a non-binding offer. Simply complete the form below and will contact you right away.

Company information

 
 
9-digit merchant number
(if you are already one of our customers)
 
Company name: *  
Address: *  
P.O. Box:  
Postal code / City: *  
Contact person: * Ms.  |  Mr.
 
 
Phone: *  
Fax:  
Internet address:  
E-Mail: *  
 
Sector: *   (e.g. Hotel)
Form of business: *  
Other business form: (*)  
Branches:  
Locations: * CH   CH & abroad   Abroad
 
Association member:   (e.g. Minotel)
 
Business registry no.: (*)  
Business registry entry since (date): (*)  
 
 
If you already know which contract you wish to enter into with us, then please answer the following questions:
 
 
Payment mode:    
 
 MasterCard
 Visa
 Diners / Discover
 Maestro
   
Mail/Phone-Order (order per telephone, letter or fax)
Sales over the Internet ( Secure E-Commerce MasterCard / Verified by Visa )
The shop is / will be found at: (*)
Your payment system provider We are active in the adult content, gambling or multilevel marketing sector
(Tip: Special conditions apply to these types of businesses)
 
Comments:
 
 
To be able to provide you with the most comprehensive offer possible, we ask you to please also answer the following questions:  
 
The expected turnover with MasterCard/Visa/Maestro is more then CHF 50'000.- per year? * Yes   No

 
The average amount per transaction is more then CHF 20.-? * Yes   No

 
Are you interested in a credit notice?
(** fees may occur)
E-mail **   A Mail **   B Mail **   none

 
DCC Dynamic Currency Conversion
Foreign currencies
Delivery Reimbursement  
EUR  
USD  
other:
 

 
 
The questions marked with * are mandatory.  
 

 
       
 

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