E-Check Processing Application
corporate services
partnership
deltaquest services

E-Check Processing Application

In order for us to consider you for an e-check processing account, please complete our application form to the best of your ability. This is a pre-application, where your request will be reviewed and someone will be in contact with you.

Important note: All fields of the application form must be filled. In case you do not know how to fill in a certain field or you do not want to provide information or you consider that the field is not applicable for you, please insert “Non applicable”. Unless all fields are completed, you will not be able to submit the form online.

The fee for setting up an e-check processing account by DeltaQuest is between EUR750 and EUR1500, depending on the company’s activities, jurisdiction and the amount of work involved. An initial deposit of EUR500 will be required, after we obtain pre approval at the first stage. The deposit will be refunded less any charges and costs if we are not able to secure the account.

Payments made to us via credit card are protected by Visa and MasterCard for up to 120 days. To find out more about the buyer’s protection on your credit card, please contact your credit card issuing bank. Payments made to us via PayPal are protected up to 45 days after the date of payment. For more information please visit the PayPal Help Center.

COMPANY DETAILS

Company Name:
Company Website:
Contact Person:
Contact E-Mail:
Contact Phone:
Contact Fax:
Company Full Address:
Registration Country of the Company:
Registration Date of the Company:


WEBSITE DETAILS

URL Industry Product/Service Description


PROCESSING DETAILS

Do you require recurring billings (The same customer charged the same amount after a specific time)?
Transaction Currencies E-Checks can only be processing in USD
Settlement Currency E-Checks can only be settled in USD

Expected Monthly Volume
Expected Number of Transactions monthly
Transaction minimum amount
Transaction maximum amount
Do you currently have processing facilities?  Yes No
If yes, please specify your current processor
Do you have processing history available?  Yes No


BANK ACCOUNT DETAILS

Do you have a bank account?  Yes No
If yes, please specify the bank
Country where bank account is held.


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