Integration Partner Registration Form

Company Details

* Mandatory Field
VAT No:
Co. / Reg No:
Is this the billing address?
YES NO

Invoice Address (if different from above)

 
 
 
Post Code:

Contact Details

MasterCard Payment Gateway Services announcements

MasterCard Payment Gateway Services announcements are sent in the event of any changes occurring that may affect the service you and your end users receive from MasterCard Payment Gateway Services, its partners or acquiring banks used. This will include details of system status updates and scheduled maintenance notifications.

It is recommended that you set up a mailing list at your company of the form: 'datacash@yourcompany.com' with all interested parties subscribed. This ensures that important announcments are sent to key members of your staff (e.g. technical, support or out of hours)

This information will be used solely for the purpose of informing you of important operational information, and will not be used for marketing purposes.

YES I would like to receive MasterCard Payment Gateway Services announcements to the following e-mail address.
 
NO I do not wish to receive MasterCard Payment Gateway Services announcements

Technical Information

From which IP Address will you submit transactions to MasterCard Payment Gateway Services?
Which IP addresses will you use to access MasterCard Payment Gateway Services Reporting?
If you use a range of IP addresses, what will that range be?
TO:
Will you require the ability to process manual transactions through MasterCard Payment Gateway Services Reporting?
 
YES NO

Additional Information

How did you find MasterCard Payment Gateway Services?
From existing MasterCard Payment Gateway Services customer (*)
Bank recommendation (*)
Telesales / Sales Call
Search Engine / website
Reseller (*)
Other
If other or marked (*) please specify
MasterCard Payment Gateway Services Contact:
Your Comments:

Confirmation

I hereby declare the above information to be true and complete.
Please enter your name here:
 


 
 
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