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Merchant Account Registration Form		  
I want to use CCePay Intangible ProductsTangible Products
Gateway for:  Both Tangible, Intangible Products & Services
Company Information
Which of the following best describes your business?
Company Description
Description of Product's / Service's) Sold
Company Name:
Address:
City:
State / Province:
Zip Code / Postal Code:
Country:
Phone
Email1
Email2
Fax
Company Type Private Ltd. Limited        Govt.  / PSU  
  Proprietor   Partnership  Incorporated 
Firm / Company Registration Details
Sales Tax #
Income Tax PAN #
Service Tax #
Company Registration ROC #
Account Executive
Primary Contact Name
Primary Contact Title
Primary Contact Email
Primary Contact Telephone
Web Site Information
Web Site Name
Web Site URL
Administration Email
Customer Service Phone #
Processing Information
Processing Currency
Average Transaction
Monthly Volume
Personal Information
Name of Director/CEO/Prop./Partner
Address
City
State / Province
Zip Code / Postal Code
Country
Phone #
Mobile #
Email
PAN / IT #
Choose Transaction Currency
  Indian Gateway (INR)     More Details
   
Note: Settlement can be done in any Currency Worldwide via International Wire Transfer.
   
 
 
   
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