Debit & Credit Card Services Sign Up Form

Company  :       

Email :              

Phone :              

Charity/Company Number :          

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Number of Users Required :           --None--1 2 3 4 5 6

Bank Account Name :                   

Settlement Bank Account Number :  

Bank Sort Code :                          

User Name 1 :                              

User Level for 1st User: --None--Level 1 - Users are able to make single payments Level 2 - Users are able to make single payments plus have access to reports Level 3 - Users are able to make single and recurring payments; Level 4 - Users are able to make both single and recurring payments, plus have access to reports Level 5 - Users are able to access reports only Level 6 - Users are able to make single and recurring payments, have access to reports and are able to refund payments Level 7 - Users can do the same as level 6 but can also manage cp web campaigns; Level 8 - Users can do the same as level 7 but can also upload cp web templates; Level 9 - Users can upload and manage cp web templates.

User Name 2:

User Level for 2nd User: --None--Level 1 Users are able to make single payments; Level 2 Users are able to make single payments plus have access to reports; Level 3 Users are able to make single and recurring payments; Level 4 Users are able to make both single and recurring payments, plus have access to reports; Level 5 Users are able to access reports only; Level 6 Users are able to make single and recurring payments, have access to reports and are able to refund payments; Level 7 Users can do the same as level 6 but can also manage cp web campaigns Level 8 Users can do the same as level 7 but can also upload cp web templates; Level 9 Users can upload and manage cp web templates.

User Name 3:

User Level for 3rd User: --None--Level 1 - Users are able to make single payments; Level 2 - Users are able to make single payments plus have access to reports; Level 3 - Users are able to make single and recurring payments; Level 4 - Users are able to make both single and recurring payments, plus have access to reports; Level 5 - Users are able to access reports only; Level 6 - Users are able to make single and recurring payments, have access to reports and are able to refund payments; Level 7 - Users can do the same as level 6 but can also manage cp web campaigns Level 8 - Users can do the same as level 7 but can also upload cp web templates; Level 9 - Users can upload and manage cp web templates.
User Name 4:

User Level for 4th User: --None--Level 1 - Users are able to make single payments; Level 2 - Users are able to make single payments plus have access to reports; Level 3 - Users are able to make single and recurring payments; Level 4 - Users are able to make both single and recurring payments, plus have access to reports; Level 5 - Users are able to access reports only; Level 6 - Users are able to make single and recurring payments, have access to reports and are able to refund payments; Level 7 - Users can do the same as level 6 but can also manage cp web campaigns Level 8 - Users can do the same as level 7 but can also upload cp web templates; Level 9 - Users can upload and manage cp web templates.
User Name 5:

User Level for 5th User: --None--Level 1 - Users are able to make single payments; Level 2 - Users are able to make single payments plus have access to reports; Level 3 - Users are able to make single and recurring payments; Level 4 - Users are able to make both single and recurring payments, plus have access to reports; Level 5 - Users are able to access reports only; Level 6 - Users are able to make single and recurring payments, have access to reports and are able to refund payments; Level 7 - Users can do the same as level 6 but can also manage cp web campaigns Level 8 - Users can do the same as level 7 but can also upload cp web templates; Level 9 - Users can upload and manage cp web templates.