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Merchant Information
Merchant Name
FirePay Merchant #
Address
City
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Zip/Postal Code
Telephone
Fax Number
Contact Name
*
Contact Email
*
Web site
Nature of Business
Categories:
Please choose one, two, or three categories.
Auctions & Bargains
Automotive
Books & Magazines
Business Services
Clothing & Accessories
Computers
Education
Electronics
Food & Beverage
Gifts & Flowers
Health & Beauty
Home & Garden
Miscellaneous
Movies, Music, & Video
Not for Profit
Occasions
Office & Industrial
Pharmaceuticals
Sports & Fitness
Toys, Games & Hobbies
Travel & Leisure
Description
Please provide a description of your product/service for your Web site listing on the FirePay Stores.
(275 characters maximum)
Please submit logos to
merchants@firepay.com
with the following requirements:
175x175 pixels
JPG/GIF/PNG/TIF format
Adobe Illustrator/Photoshop file if possible
White background preferred
Type the numbers shown in image for verification.
*Required fields.
 
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Financial Services Authority
.