I would like to offer the leading Chinese payment service – Alipay – to my customers!

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Please fill out all fields of this form and press “Send your Data” at the bottom of the form, then the form with the data is sent automatically to the sales representatives of Wirecard in Munich.

They will then contact you immediately for signing the contract. Your data will neither be stored with us nor forwarded to any other parties, they will only serve to prepare the contract for the acceptance of Alipay for your company.

Contractors

(„Dealer“)

* Your name and the company name of the contractor

* Company website

* Purpose of the business

* Commercial register no.

* Tax ID

* E-Mail

* Street name and house number

* Postcode

* Locality

* Country

* Phone

Fax

CEO / Chairman / Managing

(Home address)

* First name

* Last Name

* Position

* ID from CEO

Allowed file extensions are jpg, pdf. Max file size is 8 MB. Please provide your id as JPG or PDF

* Utility bill of CEO

Allowed file extensions are jpg, pdf. Max file size is 8 MB. Please provide your id as JPG or PDF

* Phone

* E-Mail

* Street name and house number

* Postcode

* Locality

* Country

Contact persons

(First and last name)

* Accountant name

* Accountant phone

* Accountant E-Mail

Technical Contact

* Name

* Phone

* E-Mail

General Contact Person

* Name

* Phone

* E-Mail

Contact for Notification

Name

Phone

E-Mail

Chargeback Notification Recipient

* Name

* Phone

* E-Mail

Descriptor

(Text on account statement)

* Wirecard to be billed

* Static purpose 1st line

* Static purpose 2nd line

Dealer / bank account for sales

* Bank

* Account

* BLZ

* Currency

* IBAN

* SWIFT

* Transaction Currencies

* Settlement Currencies

Note:

For the first 12 months I accept a Dissagio rate of 2.5%, there will be no setup fee and no TXN fee charged to me, after 12 months rates will be negotiated again in regards of actual turnover statistics.

* Additional comment

This Alipay acceptance has been recommended to my by Recknagel Consulting GmbH