Merchant Agreement

Legal Person
Company Data Master Data
Contract Partner

Name of the Managing Director / Executive / Organ (Private Address)

Company Data Contact Data
Contact Management

Contact Financial & Bookkeeping

Contact Technical & Development

Contact Customer Support

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Bank Accounts Payouts
Bank Account Owner Payouts
Bank Account Payouts

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SEPA Business to Business Direct Debit Mandate
Bank Acount Owner SEPA-Direct-Debit-Mandate
Bank Acount SEPA Business to Business Direct Debit Mandate

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Online Payment – Billable Websites
Wares and / or Services
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.

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