APPLICATION AND AGREEMENTApplication and Agreement • May 20th, 2015 • England and Wales
Contract Type FiledMay 20th, 2015 JurisdictionApplication for : ❑ UnionPay Online Payment “UPOP” ❑ UnionPay Point of Sale “POS” Company Information (Referred to as “Merchant”) Company Name: Company Registration No.: Incorporation Since: (DD / MM / YY) Company Phone No: + Website: http(s):www. Company Type: ☐ Sole Trader ☐ Partnership (No. of Partners : ) ☐ Private Limited ☐ Public Limited ☐ Registered Charity Nature of Business / Industry Sector: Does your company run any retail stores: ☐ No ☐ Yes, number of retail stores in UK : Trading Company Name (Optional for company operating under a different name) Trading Company Name: Company Registration No.: Company Phone No.: + Principal(s) Information For Sole Trader please provide the information for principal (1). For Partnership, Limited & Public Company, two principals are required. (eg. CEO, CFO, COO, GM, Managers or Directors) One of these named principals must be duly authorised to sign this Merchant Application and Agreement. Principal (1) Title : ☐ Mr ☐ Mrs ☐ MissFirst Nam