Please enter the details about your Company

Company Name in full
Business Address line 1
Business Address line 2
Post Code
Telephone Number Fax Number

E-mail address for software maintenance updates and support

Purchase Order Number please

Company Registration Number

Please complete the following only if different from the above

Delivery Address line 1
Delivery Address line 2
Post Code
Telephone Number Fax Number
Accounts Address line 1
Accounts Address line 2
Post Code
Telephone Number Fax Number

Cards to be processed.

Please enter each of your merchant numbers
then select the card type e.g. Visa
and the the Acquirer for that card type.

Merchant Number Card Type Acquirer

Please select or check all that apply

APACS30 Transaction Authorisation
APACS40 Authorisation and Capture
APACS50 Transaction Delivery
APACS27/29 Transaction Delivery via FTP

Batch processing of authorisation files
LAN 
Windows 9? / NT / 2000 
TCP/ip

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XenCo Limited Registered in England
Voice mail , phone & fax : +44 1883 716200
E-mail : Sales@xenco.co.uk

Last Revision: 27.04.2006