Become a Merchant - Application

Stage 1 of 4

Thank-you for applying to become a SecureTrading Merchant. Once you have completed each page press "Save & Continue" to move to the next page, you can navigate between the pages using the Previous Step and Next Step buttons, but remember if you make any changes you must press "Save & Continue" to save the changes.

As part of the application process you may need to complete a secure online Direct Debit Mandate, so please have your bank details to hand.

Fields marked with * are required.

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Contact Information

Primary Contact Name*

Primary Job Title*

Primary Contact Telephone*

Primary Contact Email*

Company Information

Company Name*

Structure of Business *

Private company (Ltd)	Partnership
Public company (plc)	Sole trader
Other (please specify)

Address details

Registered Address *

Trading Address  

Company Contact Details

Telephone *

Company Email *

Package Information

Package *

Payment Gateway more information

Merchant Account Service more information

Virtual Terminal Only more information

-- Jump to step: 1 - Company Information 2 - Trading & General Information 3 - Banking & Contact Information 4 - Direct Debit Mandate

Registered in England (4591066)
  Sundridge Park Manor,
  Willoughby Lane,
  Bromley,
  Kent,
  BR1 3FZ
a UC Group company