[md-form]

[md-raw]
*A legally binding court recognized contract will be generated automatically after form submission.
[/md-raw]

Tell us about your business
[md-text label="Business Name"]
[/md-text]
[md-text label="Website"]
[/md-text]
[md-text label="Industry"]
[/md-text]
[md-select label="Type of business"]
Sole ProprietorCorporationNon-profitPartnershipLLC[/md-select]
[md-textarea label="Product Description"]
In a few sentences, describe the goods or services you sell, who are your customers, and when in the sales process do you charge your customers (e.g., during checkout, one day after a service, etc.).[/md-textarea]

Tell us some basics about how you deliver products
[md-radio label="Do you ship the product yourself?"]
YesNo, products are shipped by a third party e.g. fulfillment house[/md-radio]
[md-select label="How long after paying will your customers typically receive their goods or services?"]
Within one dayWithin 2 weeks,Within one monthMore than a month[/md-select]
[md-text label="Long statement descriptor (max 22 characters):"]
A statement descriptor is the business name a customer will see
on their card statements. Choose a name that’s easy to recognize to avoid potential chargebacks.
[/md-text]
[md-text label="Shortened descriptor (10 characters): - no space in-between characters"]
Shortened descriptors can be paired with specific details about a charge.
[/md-text]

Provide us with your bank details
[md-text label="Name on account"]
[/md-text]
[md-text label="Bank Name"]
[/md-text]
[md-text label="Account No."]
[/md-text]
[md-select label="Account Type"]
SavingsChequing[/md-select]
[md-text label="Routing No. (if not NCB)"]
[/md-text]
[md-text label="Branch Location"]
[/md-text]

Tell us who will be in-charge of this account
[md-text label="Admin Name"]
[/md-text]
[md-text label="Support Contact No."]
[/md-text]
[md-text label="Support Email"]
[/md-text]
[md-file label="Please attach a copy of your business registration form"]
[/md-file]
[md-raw]Accepted file types: pdf, jpg, png[/md-raw]

[md-file label="Please attach a copy of your ID (front). ID must be admin information above"]
[/md-file]
[md-raw]Accepted file types: pdf, jpg, png[/md-raw]

[md-file label="Please attach a copy of your ID (back). ID must be admin information above"]
[/md-file]
[md-raw]Accepted file types: pdf, jpg, png[/md-raw]

Stipe integration Section
[md-radio label="Are we doing the integration into your website?"]
YesNo[/md-radio]

[md-captcha]
[recaptcha]
[/md-captcha]

[md-submit]

[/md-submit]

[/md-form]