Email *

Company *

First Name *

Last Name *

Who is the best business contact to handle questions around engagement, new features, and other business related questions? Please provide name and email below. *

Who is the best technical contact to handle questions around the gateway integration itself, and the code submitted? Please provide name and email below. *

Do you have a merchant requesting an integration with Spreedly? (Please note this is a prerequisite for partnership). * Yes No

Please tell us the merchant(s) names and any other commerce platforms involved. *

Do you have the engineering resources to contribute to Active Merchant? To connect to Spreedly, you would need to submit an integration to ActiveMerchant, an open source Ruby library. * Yes No

What are the major regions you participate in? Please select all that apply. * North AmericaLatin AmericaEuropeMiddle EastAsia PacificAfrica

What industry do you participate in? Please select all that apply. * Online Entertainment & GamingRestaurants & Delivery ServicesTravel & HospitalityTransportationRetailFinancial ServicesOther

What industry do you participate in if other?

Will you allow Spreedly to submit a direct PAN? * Yes No

Please list all countries that your gateway operates in: *

What is your average number of monthly transactions? *

Gateway version that will be contributed: *

Top Merchant Category codes: [4 digit code] *

What features does your gateway offer? * 3DS2Account UpdaterACH ProcessingAleloAmerican ExpressAnalytics & Dashboard ReportingApple PayCabalCarnetDankortDiners ClubDiscoverEloGoogle PayIntelligent RoutingiOS and Android SDKsJCBMaestroMasterCardMerchant & Acquirer SettlementNaranjaNetwork tokenizationPCI tokenizationSodexoStored Credentials

Any other gateway features not listed?

What else should we know about your company and integration request? *

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