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CONTACT INFORMATION

How can we contact you? It’s important in order to reduce processing time for your application

Your full name

Phone

Email

CEO

Why do we ask about this? According to anti-money-laundry regulations we’re obligated to identify and validate the identity of the CEO of our customers.

Your full name

Social security number

Adress

Zip code

City

Country

Please upload an official document with the CEOs picture and address.

Picture ID

Dra og slipp filer her, eller

Examples: passport, driver license

Address ID

Dra og slipp filer her, eller

Examples: Utilities bills

OWNERSHIP

Why do we ask about this? According to anti-money-laundry regulations we’re obligated to identify and validate the identity of persons owing 25 % or more of the company.

The company has single person ownership
The company has multiple individuals with direct or indirect ownership of 25 % or more
The company is single ownership with 25% or more ownership
No individual has direct or indirect ownership of 25 % or more

Name	Social Security Number	Adress	Zip code	City	Country

Please upload an official document with the CEOs picture and address.

File

Dra og slipp filer her, eller

Picture ID

File

Dra og slipp filer her, eller

Address ID

Name	Social Security Number	Adress	Zip code	City	Country

Please upload an official document with the CEOs picture and address.

Fil

Dra og slipp filer her, eller

Picture ID

Dra og slipp filer her, eller

Address ID

Please explain the ownership structure*

Webshop

Homepage

What is the name of your webshop and is it already accessible? More webshops? If you have more webshop within the same business category please note them.

Is the webshop live?

Yes
No

Test-url

Test-user

Test-password

product/price plan

Choose price plan (Entrepreneur, Business and Pro) Undecided then choose ”get an offer” or call us or write to support@pensopay.com

Webshop system

Choose the webshop system you are using

BUSINESS MODEL

Why do we ask about this? Please describe your business model

Business name?

Business model

What are you selling?

We have subscriptions
We have physical products

Delivery*

Estimated average basket size and monthly revenue.

Currency

Basket size

Average

Monthly revenue

Average

BANK ACCOUNT

Why do we ask about this? You can accept payments from customers in all currency and choose to get paid in one of the following currencies: DKK, EUR, SEK, NOK, GBP and USD.

Currency

Bank

Billing mail

SWIFT (BIC) kode

IBAN nummer

Weitere Angaben
If you believe we can benefit from further information please state it here.

Additional information

How did you find us

We would like to know how you found PensoPay.

File

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Upload files

Terms and conditions

We kindly ask you to read and accept our terms and conditions - Terms and conditions & Privacy Policy

*

I accept and confirm that I’ve read the terms and conditions and that the above data is stored according to the privacy policy

I agree to Pensopay approves my payment agreement and that I have 10 days of objection.

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application form

CONTACT INFORMATION

COMPANY INFORMATION

CEO

OWNERSHIP

Webshop

BUSINESS MODEL

BANK ACCOUNT

Terms and conditions