Merchant Enquiry Questionnaire
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Business Name
Is your business an entity or individually owned?
Country *
Business Operating Address (Building Name, Street/Road, City, Country)
Briefly describe your business (who you are, what you do, and what service/products you offer)
Please describe your most significant challenges with regards to payment acceptance/payouts:
[Examples: Reconciliation, Lack of a single point of collection, Delayed settlement, Costs, Quality of Service, Risk in handling cash, Tracking partial payments]

What are the expected annual transaction volumes to be processed by Cellulant? (e.g $200,000)

List of sites where your product(s) are sold
Please provide your contact information (Name, Phone number and email address)
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