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Payment Solutions Application Form


Not only do you benefit from the lowest ecommerce transaction charges on the market, but we will also host your ecommerce web site free of charge for six months on our corporate hosting platform (either Linux or Windows)

The corporate hosting package has a whole host of features, 10Gb of Web Space, Unlimited Mailboxes, 10 Mysql Databases, PHP, PERL, CGI, SSI, Python, ASP, Daily Web Stats and more.

Each EcomMerchant Applicant will be offered a six month free hosting account in anticipation of obtaining an Internet Merchant Account (IMA). After the free period ends normal hosting charges will apply or should you not manage to obtain an IMA then you can of course choose to pay for the hosting account as normal.

Contact Information

Business Information

£ 
£ 
£ 
Yes   No

Preferences

ECOM    MOTO    TERMINAL

Please state any Add-on Services to include - see Add-on services page for further details

3D Secure   Mobile PayPage    Repeat Payments   
Extended Data Elements    Multi-Lingual PayPage    Transaction Reporting   
Deferred Payments    Multi Merchant Interface    Subscription Payments   
Batch Payments    Pre-Authorisation Payments    PayPage Customisation
Pay-Link   
Australian Dollar
Canadian Dollar
Danish Krone
Euro
Hong Kong Dollar
Israeli Shekel
Japanese Yen
Korean Won
Norwegian Krone
Saudi Arabian Ryal
Swedish Krone
Swiss Franc
UK Pounds
US Dollars
If others, please specify:

Acceptance

 Terms & Conditions:
I agree to the Terms as specified in the Terms & Conditions above.  I understand that these terms are to be considered pre-contractual in nature and will be in full force and effect once a provision of service commences.

 Privacy:
You agree to Total Web Solutions storing and processing your personal data for the provision of a pre-contractual agreement (i.e. a quotation) or a contract agreement (i.e. provision of service) as specified in the Privacy Notice above. 

 Marketing:
Occasionally, Total Web Solutions would like to contact you with new service promotions and service improvement announcements.  By ticking the box here, you consent to us using your contact details for these purposes.  You have the right to modify or withdraw your consent at any time by contacting the Total Web Solutions Sales Department directly or using your control panel.

If you consent to us contacting you with the above-mentioned marketing and offers, please specify your preferred method of contact:
Telephone Email Post Text Message (SMS)

 Contacting You:
Please specify your preferred methods of contact for discussing your EcomMerchant Application:
Telephone Email Post

* Make your turnover and average transaction as accurate as possible as this can affect your application

Minimum 12 Month Contract applies to all ECOM/MOTO services. Early termination fee may apply. Full Terms & Conditions can be found on our website under the 'About Us' section
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