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First Name*

Last Name*

Email*

Phone

Message*:

Company

Choose the type that most closely fits your businessType Of Business
--None-- Money Remittance Gold Wholesaler / Cash & Carry Bank

Street address

Postcode

City

County

We are currently accepting applications from the UK onlyCountry

Leave blank if you don't yet have FCA registrationFCA Registration Number

Leave blank if you're not a limited companyCompany Registration Number

Your Money Laundering Registry number. Leave blank if you're not yet registeredHMRC MLR Number

The country/countries to which you want to send moneyTrading Corridor(s)

The country in which you want to receive settlement to your accountMain Transfer destinations

Enter the currencies which you want to deliver at destinationDestination Currencies

The number of branches/locations from which you operateNumber Of Agents

Please click all that applyWhich support items do you require?

• POS Terminal: 
• Branded Website: 
• Branded App: 
• Virtual Account With Sort Code: 

How your customers will receive payment (Click all that apply)Money Payout Required

• Cash:  
• Account: 
• Card: 
• M‑wallet: 

Choose how you want to send documents to ChoicePreferred way to send documents etc

• Manual: 
• Auto API: 
• Other: 

Tell us about any particular problems that stand in your wayObstacles to your business's growth

Any other comments or questions