Merchant Enrollment

BUSINESS INFORMATION

Merchant's Legal Name *

Merchant's DBA Name

Type Of Ownership *

Federal Tax ID # (EIN)*

Description of business and goods or services sold *

Mailing/Legal Address

Website Address (Required for Internet Merchants) *

LOCATION INFORMATION

Store Name *

Store Phone *

Store Address *

Contact Person *

Contact Person Phone Number *

Contact Person Email *

Current POS System

Average Transaction Size

Monthly CC Volume

Currently Accept

VISA

Mastercard

AMEX

Discover

Unionpay

JCB

OWNER/AUTHORIZED OFFICER INFORMATION (Mandatory for LLC, Partnership and Sole Proprietorship)

Owner/Officer Name *

Title *

Phone # *

Email *

US Government ID #: *

Residence Address *

BANK INFORMATION (Attach Voided Check Or Bank Letter)

Bank Name *

Bank Address

Routing Number *

Account Number *

PAYMENT SERVICES

Payment Method

UnionPay (Offline Only)

AliPay

WechatPay

Product/Service

Online Service

E-Invoice Service

Mobile App

POS Terminal (Qtty: )

SERVICES AND FEE SCHEDULE

	Online	Offline
	WechatPay & Alipay	UnionPay	WechatPay & Alipay
Merchant Discount Rate (per transaction)	2.85 %	2.75 %	2.70 %
Authorization Fee (per transaction)	$ 0.30	$ 0.20	$ 0.15

POS Terminal (offline transaction only)*	N/A	$ 250.00/each

*Note: $250 per working POS device refundable deposit will be returned when service terminated

SETTLEMENT

Transactions Before Midnight Beijing Time: 2 Business Days
Transactions After Midnight Beijing Time: 3 Business Days

Payout is automatically processed when the merchant's transactions balance has reached a minumum of $100

ACCEPTANCE OF TERMS & CONDITIONS / MERCHANT AUTHORIZATION

I/We hereby guarantee to CITCON USA LLC, their successors and assigns, the full, promote and complete performance of Merchant and all Merchant’s obligations under the MERCHANT PROCESSING AGREEMENT (http://www.citcon-inc.com/merchant-processing-agreement/), including, but not limited to all monetary obligations arising out of Merchant’s performance or nonperformance under this Agreement, whether arising before or after termination of this Agreement. The undersigned, by signing below, agrees to be bound by the Agreement and this Guaranty. MERCHANT AGREES TO ABIDE BY ALL TERMS AND CONDITIONS LISTED IN THE MERCHANT PROCESSING AGREEMENT (http://www.citcon-inc.com/merchant-processing-agreement/)

Name (printed) *

Title/Position *

Authorized Signature *

Date *

Authorized Partner/ISO