Skip to form

Pre-onboarding Elavon Form

Coastr-Consumer-Logo-1

Customer Information

Authorised Signatory & Beneficial Owners

Please provide for all shareholders with 10% or more shares

Responsible party*
Date of birth*
//
Issue date*
//
Date of expiry*
//
Phone number*

Business Trading Address 

Business Legal Address (Co-House Reg Address)

Card Turnover Information

Card Acceptance (per channel):

Banking Information - Settlement of Funds

Banking Information - Payment of Fees

Authorized Signatory contact Information as Business contact
Multiple files are allowed