Form - Apaylo

Test Drive Form

Company*

Legal Registered Business Name*

Country of Business Operations*

Years in operation?*

Street*

City

Province

Postal Code*

First Name*

Last Name*

Business Title*

Phone

Email*

Brief Company Description*

Industry*

Registered MSB (Check box if applies)

Experienced any fraud or suspicious activity?*

How do you handle customer service inquiries?*

Do you have AML/ATF policies implemented in place?*

Product Need*

Are you working with a dev team?

Name of dev team you work with?*

# of Monthly Transactions*

Average Transaction Size*

KYC Provider*

Intake Form