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First Name
*
Last Name
*
Phone
*
Email
*
Website/URL
Street Name
*
Second Address
P. O. Box
Municipality
*
City
*
Country
*
Libya
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Legal Name of Business
*
Trading Name
Commercial Classification
*
Small Merchants
Shops & Super Markets
Small and Medium-Sized Businesses SMB
Small and Medium-Sized Enterprise SME
Large Enterprise
Insurance Provider
Government Services
Public Institutions
Airlines and Ticketing Services
E-Commerce B2B
E-Commerce B2C
Individual (Consultants)
Hotels
Commercial Classification
Account Type
*
Payout Account (Every 14 days)
Wallet Account (Cashout on demand basis)
Currency Accounts
*
LYD
TND
USD
EUR
TRY
CNY
Confirmation
*
I am authorised legal representative of the Merchant
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