| YOUR DETAILS: |
| Company name: |
* |
Town or city:
|
|
Post code: |
|
Country: |
* |
| |
|
| contact : |
|
Surname: |
* |
First name: |
* |
E-mail address: |
* |
Telephone: |
* |
Fax
: |
|
Mobile
: |
|
| |
|
| THE
SITE : |
URL of merchant site: http:// |
* |
New activity: |
oui
non
|
Planned start of activity: |
|
TO
BE COMPLETED BY MERCHANTS WISHING TO MAKE USE
OF THE MERCHANT AGREEMENT SUPPLIED BY THEIR
BANK.
CYBERservices’
commercial proposal will relate to the Silver package |
| Merchant
authorisation: |
| If
you already have merchant authorisation (Distance Sales Contract),
please indicated the name and country of the bank that supplied it. |
Bank: |
|
Country: |
|
TO BE COMPLETED BY MERCHANTS WITHOUT MERCHANT AGREEMENT.
CYBERservices will base their proposal on either the Gold or Platinum
package. |
ARTICLES FOR SALE
(Type of
product, Services, Events, Information...) |
|
| |
|
CLIENTS
:
(Individuals,
Associations, Businesses, Freelance professions ...) |
|
| |
|
| VOLUME OF ACTIVITY: |
|
Billing currency: |
Euros
USD
CHF
GBP
|
| Sales
forecast: |
/months in
(currency) |
Number of forecast
transactions: |
/months |
Minimum amount per
Transaction: |
|
Maximum amount per
Transaction: |
|
| |
|
| ZONE OF COMMERCIAL ACTIVITY: |
|
| |
|
DELIVERY:
If the
merchandise is not stored on your premises, please indicate the address
where it is stored and the dispatch point. |
|
| |
|
| |
|
DELIVERY METHOD:
(Postal
dispatch, normal, registered, registered with acknowledgement of
receipt, FedEx, Transporter ...) |
|
| |
|
| For Any package: |
E-COMMERCE SOLUTION:
(If
applicable: Shop Factory, OScommerce,
Power-boutique, ... other) |
|
|