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COSMO PAYMENT APPLICATION

Please complete the following form.
Upon submission, you will receive an update from the Cosmo Payment team within 2-3 business days.

Please upload a clear photo of a valid Government Issued ID or Passport, as well as ‘Proof of Address’ dated within the last 3 months and clearly displaying all four corners of the document.

First Name

Last Name

Email

Birth Date

Address

City

State/County

Postal Code

Country

Phone Number

Please insert estimated monthly payout volume in USD

Please list all websites who will be funding your account

Please input links to your website profiles

Passport or Government ID

Upload

Upload supported file (Max 15MB)

Proof of Address

Upload

Upload supported file (Max 15MB)

I have read and agree to the CardholderPrivacy Policy

Add answer here

Corporate Accounts

Terms and Conditions

©2022 CP Solutions Limited.

Cosmo Payment cards are issued by various issuing banks pursuant to the appropriate regulatory licenses. Cosmo Payment operates as an approved Program Manager and registered service provider. All transfers of funds are processed by Cosmo Payment partner financial institutions using the certified “PrepaidGate” technology.

Cosmo Payment maintains a formal security program in accordance with current best industry standards that is designed to: (i) ensure the security and integrity of the data its customers and their end user, including cardholder data (collectively, “Customer Data”); (ii) protect against threats or hazards to the security or integrity of Customer Data; and (iii) prevent unauthorized access to Customer Data; such security programs conforms to the Service Organizational Controls Report. The Company and the Customer Offerings have complied with, and are complying with, the Payment Card Industry Payment Application Data Security Standard (“PA-DSS”) and PCI Data Security Standard (“PCI DSS”) as applicable to Cosmo Payment.

Corporate Accounts
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