Three Steps to Card Acceptance

* Mandatory boxes
1. Company Details

Please fill in your B+S contract-number if already existing.

Firm / Company


Owner / Management


Contact Person


Bank Link


Further Information


Turnover

Amount per transaction

Please fill in the average amount per transaction. If not available, please state the lowest and highest amount of the articles offered. For example: 15,00 - 300,00.

€ per transaction

Where are the card holders from?

%
%
%

Recurring services (e.g. members fees, subscription)*

Will credit-card-data be stored? (PCI DSS)*

The credit-card-data will be stored, processed or transferred by merchants own systems. PCI DSS registration/certificaton will be necassary.

The credit-card-data will not be stored, processed or transferred by merchants own systems.

2. Contract Details and Conditions

E-Commerce contract


Security Procedures


Mailorder contract


Is it a ONE-TIME convention/conference? *

If yes, please specify period:

Which currency are the services / goods offered in? *


For other currencies, an extra fee might be charged on the disagio, where applicable.

Which currency do you want B+S to use for the transfer to the named account? *


For other currencies, an extra fee might be charged on the disagio, where applicable.

Note: Payments to foreign bank accounts or in other currencies than Euro might incur additional bank fees.

3. Payment System

B+S E-Payment-Software *

The Payment system is already existing *

4. Message / Remark
5. How did B+S come to your attention?

Note on the collected data: All information disclosed in this questionnaire only serve to conclude a credit card acceptance contract and will be used by B+S Card Service GmbH exclusively for this purpose.

You will shortly receive via e-mail a confirmation with the information you have entered.