Stripe Authorization Form

Instructions

Please fill out this simple 4-step form and we will get you up and running in no time.

You will be asked to provide us with your business registration and identity documents (e.g. drivers license) on step 4. Please have these handy before you start.

*Note: A legally binding court-recognised contract will be generated automatically for your signature after you submit this form.

• 1

  Business Info

• 2

  Banking Info

• 3

  Technical Details

• 4

  Documentation

1/4

Business Info

Tell us about your business

Business Name

Website

Industry

Sole ProprietorCorporationNon-profitPartnershipLLC

Type of business

In a few sentences, describe the goods or services you sell, who are your customers, and when in the sales process do you charge your customers (e.g., during checkout, one day after a service, etc.).

Product Description

Tell us some basics about how you deliver products

Do you ship the product yourself?
YesNo, products are shipped by a third party e.g. fulfillment house

Within one dayWithin 2 weeks,Within one monthMore than a month

How long after paying will your customers typically receive their goods or services?

Next - Banking

0%

Provide us with your bank details

Name on account

Bank Name

Account No.

SavingsChequing

Account Type

Routing No. (if not NCB)

Branch Location

A statement descriptor is the business name a customer will see
on their card statements.
Choose a name that’s easy to recognize to avoid potential chargebacks.

Long statement descriptor (max 22 characters):

Shortened descriptors can be paired with specific details about a charge.

Shortened descriptor (10 characters): - no space in-between characters

Tell us who will be in-charge of this account

Admin Name

Support Contact No.

You will also be able to use this email address to log into the Stripe dashboard to check your transactions

Support Email Address

Back - BusinessNext - Technical

33%

Stripe integration Section

Are we doing the integration into your website?
YesNo

Website URL (e.g. myecommercewebsite.com)

Admin Login URL (e.g. myecommercewebsite.com/wp-admin)

Type of website (e.g. WordPress, WIX, Squarespace)

Login credentials

Login Email address / Username

Login Password

Stripe Payment Form Section

Are you doing a payment form for your website?
YesNo

Domain Name (e.g. mobileedge.getpaid.app)

Company Logo Choose file No file chosen

Accepted file types: pdf, jpg, png

Main company colour (e.g. blue)

Back - BankingNext - Documentation

66%

Please attach a copy of your business registration form* Choose file No file chosen

Accepted file types: pdf, jpg, png

Please attach a copy of your ID (front). ID must be admin information above* Choose file No file chosen

Accepted file types: pdf, jpg, png

Please attach a copy of your ID (back). ID must be admin information above* Choose file No file chosen

Accepted file types: pdf, jpg, png

Back - Technical

100%