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Thank you for considering Newsbook Ltd for your Internet payment solution. This form will allow us to undertake a rapid business assessment of your and any information that you provide will only be used for the purposes of assessing your application. Part of our acceptance procedure involves a credit check and we ask you to complete this form fully, so that we can carry this out. If you cannot answer any of the following questions, your application will be delayed and may be rejected. If you require any assistance in completing this form, please contact us at 23799022.
Application Form
Company name:
Trading name (if different):
Business address:
Telephone number:
Fax number:
Web site address:
What is your name?
Contact email address:
What is your title?
Company Registration Number::
Country of Incorporation:
All Directors'/Owners' names:
Give a brief description of the products and services that you offer:
Who is your bank?
Sort Code/Branch Number/Swift Code:
Bank Account number:
Bank address:
Bank telephone number:
Anticipated monthly Internet turnover: