Merchant Domain Verification Request Form
Submit your details to request verification of your website/domain for merchant onboarding or account approval.
Merchant/Business Name
*
Contact Person Name
*
First Name
Last Name
Business Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Website/Domain URL to Verify
*
Business Type
*
Please Select
Retail
Service Provider
E-commerce
Wholesale
Nonprofit
Other
Brief Description of Business Activities
*
Current Status of Website/Domain
*
Live and operational
Under construction
Coming soon/landing page
Supporting Evidence of Domain Ownership (e.g., screenshot, hosting record, or file)
*
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Additional Comments or Information (optional)
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