Secure, Fast & Easy E-Commerce
NetCommerce payment gateway provides complete, simple and secure online payment services with real time credit card transaction validation
Friday, April 26, 2024
Application Form
Please, fill-in and submit the below Sign UP Form in full details.
Legal Required Documents
1- Certified Commercial Register
2- Certified Commercial Circular / Authority of Signature
3- ID Card Copy of the Authorized Signatories and All Shareholders
4- Ministry of Finance Registration Sheet and/or T.V.A. Sheet
5- Letter from your bank showing the IBAN
(
*
) Required Field
Company Info
Company Name
*
Commercial Name (to be shown on cardholder bank statement)
*
Commercial Register no/ acknowledgment and location
*
Date & Place of Commercial Registration / acknowledgment
*
VAT Code
*
M.O.F Number
*
Business Type
*
[--Select--]
Associations and Organizations
Auction and Bidding
Education
Electronics
Fashion and Clothing
Financial Institutions
Florist
Food and Drink
Govermental
Handmade Art
Hardware and Accessories
Hotel
Import Export
Insurance
Jewellery
Mobile and Telecom
Press and Journalism
Publishers
Real Estate
Software and Development
Syndicates
Travel and Tourism
Local Bank Names You Deal With/Branch
*
List the company main activities
*
Max. 200 characters
Country
*
City
*
Full Address
*
Max.100 characters
Po Box
E-Mail
*
Telephone
*
Fax
Authorized Signatory
First Name
*
Father's Name
*
Family Name
*
Mother's Name
*
Nationality
*
Other (Maiden Name)
Email
*
Mobile or Tel
*
Tick here if the manager is in charge of the operations, technical and financial notifications
Your Company Representative for Operations & Activity Notifications
First Name
*
Last Name
*
E-Mail
*
Tel or Mobile
*
Your Company Representative for Financial Notifications
First Name
*
Last Name
*
E-Mail
*
Tel or Mobile
*
Website Development Company / Developer
Company Name
First Name
*
Last Name
*
E-Mail
*
Tel or Mobile
*
Website Info
Merchant Website URL
*
Website Platform
*
[--Select--]
Appy Pie
BigCommerce
Contentful
Drupal
Duda
Ecwid
Flutter
GoDaddy
HostGator
Hostinger
HubSpot CMS
IM Creator
IONOS
In-House Development
Jimdo
Joomla
Magento
Odoo Website
Other
PrestaShop
Regxa
SITE123
Shopify
Sitecore
Square
Squarespace
Tilda Publishing
WebEasy Professional
WebStarts
Webflow
Weebly
Wix
WooCommerce
WordPress
Yola
Zoho Site
Other URLs Used for the Same Website
Max. 200 characters
Products and Services Sold on Your Website
Description
*
Max. 200 characters
Type of Delivery
*
[--Select--]
Online
Mail
Courier
Other
Minimum Amount Expected Per-Transaction
*
$
Maximum Amount Expected Per-Transaction
*
$
Highest Monthly Volume Expected
*
$
Payment Mode
Currency Used:
LB Pounds
USD (Fresh)
Bank Details
[--Select--]
The company has an account at Credit Libanais
The company wishes to open an account at Credit Libanais
The company wishes to transfer to other bank (specify)
Beneficiary Name
Bank Name
Branch
IBAN
USD
LBP
IBAN: International bank account number, Ex: LB10 0053 00CA USD0 0465 1234 56781
Please refer to your bank for info.
Choose your needed Service(s)
Hosted Checkout
Payment Link
Note: Hover your cursor over the exclamation mark for details
How did you know about NetCommerce?
[--Select--]
Other
Search Engine (Google...etc.)
Notes
I Hereby Certify all the information in this application are correct. I also authorize NetCommerce and /or any of its affiliates to verify any information included in this application.
If you're human leave this blank:
Copyright © 2024 NetCommerce S.A.L - All Rights Reserved.
