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.

Contact Information

Primary Contact Name*
Primary Job Title*
Primary Contact Telephone*
Primary Contact Email*

Company Information

Company Name*
Structure of Business *

Address details


Company Contact Details



Package Information

Package *
more information
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more information

Verification

CAPTCHA *