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Start
Online pre-check form
Paycific enquiry
Fees
Agreement - Legal Person
Agreement - Natural Person
Products
One-off payments
Subscription management
Pre-paid and post-paid
Affiliate system
Processing gateway
E-payment
Payment solutions
Credit cards
SEPA direct debit
Online transfer
Other means of payment
Risk management
PCI DSS compliance
Creditworthiness check
Fraud prevention
System reliability
Data security
Profile
Portrait
Team
Regulations
Compliance
Career
Partner
Payment Partner
Business Partner
Shopsystem Partner
Information
News & press releases
Certificates
General terms for merchants
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Contact form
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Merchant Agreement
Natural Person
Step 1
Step 2
Step 3
Step 4
Step 5
Data Contract Partner
First Name *
Last Name *
Street *
House Number *
ZIP-Code *
City *
Country *
Germany
Austria
Switzerland
---------------
Andorra
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czechia
Denmark
Estonia
Finland
France
Germany
Gibraltar
Greece
Holy See (Vatican City State)
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
Monaco
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Slovakia
Slovenia
Spain
Sweden
Switzerland
United Kingdom
Merchant Master Data
Salutation *
Mr
Mrs
First Name *
Last Name *
Additional Name
Street *
House Number *
Additional Address
ZIP-Code *
City *
Country *
Germany
Austria
Switzerland
---------------
Andorra
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czechia
Denmark
Estonia
Finland
France
Germany
Gibraltar
Greece
Holy See (Vatican City State)
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
Monaco
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Slovakia
Slovenia
Spain
Sweden
Switzerland
United Kingdom
Day of Birth *
Select Year
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Place of Birth *
Nationality *
Germany
Austria
Switzerland
---------------
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
ID / Passport Number *
Issuing Authority *
Issuing Date *
Select Year
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Valid Until *
Select Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mobile Phone
+30
+31
+32
+33
+34
+350
+351
+352
+353
+354
+356
+357
+358
+359
+36
+370
+371
+372
+376
+377
+378
+385
+386
+39
+39
+40
+41
+420
+421
+423
+43
+44
+45
+46
+47
+48
+49
eMail Address *
Back to Step 1
Data Contact Person
Contact Management
First Name
Last Name
Mobile Phone
eMail Address
Contact Financial & Bookkeeping
First Name
Last Name
Mobile Phone
eMail Address
Contact Technical & Development
First Name
Last Name
Mobile Phone
eMail Address
Contact Customer Support
First Name
Last Name
Mobile Phone
eMail Address
Back to Step 2
Bank Connections
Bank Account Owner Payouts
First Name *
Last Name *
Street *
House Number *
ZIP-Code *
City *
Country *
Germany
Austria
Switzerland
---------------
Andorra
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czechia
Denmark
Estonia
Finland
France
Germany
Gibraltar
Greece
Holy See (Vatican City State)
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
Monaco
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Slovakia
Slovenia
Spain
Sweden
Switzerland
United Kingdom
Bank Account Payouts
Bank Name *
ZIP-Code *
City *
Country *
Germany
Austria
Switzerland
---------------
Andorra
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czechia
Denmark
Estonia
Finland
France
Germany
Gibraltar
Greece
Holy See (Vatican City State)
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
Monaco
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Slovakia
Slovenia
Spain
Sweden
Switzerland
United Kingdom
Account Number *
IBAN *
BIC / SWIFT *
Bank Acount Owner SEPA-Direct-Debit-Mandate
First Name *
Last Name *
Street *
House Number *
ZIP-Code *
City *
Country *
Germany
Austria
Switzerland
---------------
Andorra
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czechia
Denmark
Estonia
Finland
France
Germany
Gibraltar
Greece
Holy See (Vatican City State)
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
Monaco
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Slovakia
Slovenia
Spain
Sweden
Switzerland
United Kingdom
Bank Acount SEPA Business to Business Direct Debit Mandate
Bank Name *
ZIP-Code *
City *
Country *
Germany
Austria
Switzerland
---------------
Andorra
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czechia
Denmark
Estonia
Finland
France
Germany
Gibraltar
Greece
Holy See (Vatican City State)
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
Monaco
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Slovakia
Slovenia
Spain
Sweden
Switzerland
United Kingdom
Account Number *
IBAN *
BIC / SWIFT *
Back to Step 3
Online Payment – Billable Websites
Wares and / or Services
Contract Type *
Digital Content & Entertainment (High Risk)
Dating / Social Networks / Chats (High Risk)
General e-commerce
Business Type *
Recurring Services (e.g. Memberships, subscriptions etc.) *
Yes
No
Minimum Ticket Size / Currency *
EUR
USD
CHF
GBP
Maximum Ticket Size / Currency *
EUR
USD
CHF
GBP
Average Ticket Size / Currency *
EUR
USD
CHF
GBP
Current turnover for the running business year / Currency *
EUR
USD
CHF
GBP
Planned turnover for the next business year / Currency *
EUR
USD
CHF
GBP
Turnover last business year / Currency *
EUR
USD
CHF
GBP
Monthly number of single transactions *
Number of Chargebacks SPEA Direct Debit for the last 6 months *
Number of Chargebacks Credit Cards for the last 6 months *
Delivery countries in percent *
Processing History exists with a different payment provider *
Yes
No
Current Payment Provider
Reason for Payment Provider Change
URL’s, Websites, to be billed *
I declare and affirm explicitly that I've read, understood and accepted the terms and conditions
T&C
and the currently valid
conditions
(fees & expenses). Furthermore, I certify that all information provided on this form have been made to the best of knowledge and belief and match the truth. I acknowledge that willfully made false statements may result in an immediate dismissal or non-inclusion of the business relationship with Paycific.
Back to Step 4