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Pay Client Intake Form

US Banking regulations and Anti-Money Laundering & Anti-Terrorism laws require us to collect certain information in order for you to gain access to our services. If you do not wish to provide this information before speaking to a representative, please give us a call at +1 (954) 510-2020.

Please provide as much information as you can. Incomplete applications may create a delay in processing your account. Upon completion of this form, you will be contacted by a Card Tent representative to finalize your account set up and gain access to our services.

Will you be using our services for? (Check all that apply)*

Payroll CompensationNon-Payroll Compensation (ie: Rewards & Benefits)

Customer Incentives or RebatesVendor Payments

Other Corporate Payments

Is this a one-time event?*

YesNo

Not Sure

How many individual beneficiaries will you be paying?*

10 - 5051 - 100

101 - 500501 - 1000

1001 - 25002501 - 5000

5001 - 10000More than 10000

Please note our services are not currently available when less than 10 beneficiaries are involved.

What will be the total annual payments specified in US dollars?*

$10,001 - $100,000$100,001 - $500,000

$500,001 - $1,000,000$1,000,001 – $5,000,000

$5,000,001 - $10,000,000$10,000,001 - $25,000,000

More than $25,000,000

Please note our services are not currently available if your annual spend is less than $10,000.
Accounts may be funded in currency other than US dollars.

What will be the frequency of your payments?*

WeeklyBi-Weekly

MonthlyQuarterly

Semi-AnnuallyAnnually

Periodically

Where are your beneficiaries located (Check all that apply)?*

USA-OnlyAsia

Middle East, North Africa, Greater ArabiaEurope

North AmericaCentral America & The Caribbean

South AmericaSub-Saharan Africa

Australia & Oceana

How are your beneficiaries best described (Check all that apply)?*

EmployeesContractors

VendorsAgents

CustomersOther

Who are you establishing an account for?*

My CompanyOn behalf of a Client

Client Information

Is your client's company?*

USForeign

Is your client's company?*

PublicPrivate

Company Type*

LLCS-Corp

C-CorpNon-Profit

Sole Proprietorship

Is your client's company?

PublicPrivate

Company Type*

LLCS-Corp

C-CorpNon-Profit

Sole Proprietorship

Username*

Password*

Confirm Password*

Only fill in if you are not human

Contact Us

Contact M-F 9am - 6pm ET; Closed Holidays 1.954.510.2020 sales@cardtent.com
support@cardtent.com

401 E. Las Olas Blvd #130-551
Ft. Lauderdale, FL 33301 USA

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Pay Client Intake Form

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