First Name *

Last Name *

Company *

Business Email *

Title *

Which category most accurately describes your business model? * Merchant Aggregator / Platform / Marketplace Merchant Other

What is the primary reason for your interest in Spreedly? (select all that apply) * Need to process payments Need to add an additional gateway Access to multiple currencies Offering alternative / local payment methods Compliance (PCI, 3DS, etc.)

How many transactions do you currently run per month? If not yet live, how many do you anticipate in the first year? *

Do you have a relationship or integration already built out with a PSP or acquirer? If so, who? * Adyen Authorize.net Braintree Cybersource DLocal Ebanx Element Litle PayPal PaySafe Stripe Worldpay

If none of the above, please add here

What countries/regions do you operate in? Any plans for expansion? * Asia AUS/NZ Europe LATAM NA Other

Target Launch Date *

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