Business Account Registration - Merchant International Payments

Account Type*

Personal
Business

In order to open an account, we require some information about the business and it's Officers and Owners.

Entity Name*

Website

Are you a US Resident?*

Yes
No

International payment services executed by Agility Forex Ltd. are not available at the moment to persons resident in the United States of America or its territories.

Type of Entity*

Physical Business Address*

Street Address City Province/State/Region ZIP / Postal Code Country

Business Telephone Number*

Include your international dialing code if applicable.

Are you Incorporated in the same jurisdiction as the business address provided? If No, please enter jurisdiction.*

Yes
No

Please enter the Province or Country (for non-Canadian entities) of Incorporation*

Business Registration Number and/or Tax Identification Number*

Type of Industry*

Other Industry*

Source of Funds*

Primary Reason for Transactions*

Other Reason for Transactions

Now we need to collect some information on you as the authorized person on the account.

As part of our AML compliance procedures and FINTRAC reporting requirements we need to gather your address, Goverment ID and other info to verify your identity.

Legal First Name*

Legal Last Name*

Date of Birth*

Must be 18 years or older to register. (mm/dd/yyyy)

Physical Residence Address*

Street Address City Province/State/Region ZIP / Postal Code Country

Preferred email address*

Preferred telephone number*

Occupation*

Please note Occupation should describe the actual business function and not be a title or generic field ( for instance: Not VP, but VP Sales or VP Marketing, not Manager but Manager HR, etc). Please be specific.

Citizenship*

Please provide your SSN*

Are you a Beneficial owner 25% or greater of the entity?*

Yes
No

Are there are any additional beneficial owners of 25% or greater?*

Yes
No

If yes, please enter their email(s) as a comma separated list.*

Login Details

Create Username*

If you're upgrading from a demo account please choose a new username.

Create Password*

Enter Password Confirm Password

Strength indicator

Security Question*

Answer*

2nd Security Question*

Answer*

Referral/Promo Code

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Regulations require we verify the existence of the entity and identity of authorized person(s).

Please confirm your understanding and consent by checking the boxes below.

*

I consent to the use of my data as laid out in the Privacy Policy. I understand the firm uses my data under two legal bases. My consent and in order to fulfil its legal obligations as a financial institution. *

*

I accept the Terms & Conditions *

UserCountry

Comments

This field is for validation purposes and should be left unchanged.