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Submitted URL: https://go.checkout.com/e/844983/ure-Program-EM5-Reconciliation/bsvxpc/3294850613/h/HlwcrCfPC6AUsI0niiulidcbasC951nXwAK5...
Effective URL: https://www.checkout.com/contact-sales?utm_campaign=gl_nurture_program&utm_medium=email&utm_source=nurture&utm_content=70...
Submission Tags: falconsandbox
Submission: On December 19 via api from US — Scanned from DE
Effective URL: https://www.checkout.com/contact-sales?utm_campaign=gl_nurture_program&utm_medium=email&utm_source=nurture&utm_content=70...
Submission Tags: falconsandbox
Submission: On December 19 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: EN_Contact_Us---C-version-(dark)_1703004284632 — POST https://go.checkout.com/l/844983/2021-05-21/3x9p52
<form class="gcdc-form-render gcdc-form-render-formContactNoLabelsCVersion gcdc-form-render-formcontactnolabelscversion" novalidate="novalidate" method="post" action="https://go.checkout.com/l/844983/2021-05-21/3x9p52"
id="gate-7291a9bc-bea2-4142-8a2b-c699eda5819c_form_1703004284632" name="EN_Contact_Us---C-version-(dark)_1703004284632" style="display: block;">
<div class="gcdc-form-intro gcdc-form-group gcdc-form-group-padded">
<div class="gcdc-form-message"></div>
</div>
<div class="gcdc-form-warning-message gcdc-form-group gcdc-form-group-padded"></div>
<div class="gcdc-form-group gcdc-form-group-padded gcdc-form-group-customcontent gcdc-form-group-Label4">Tell us a bit about yourself</div>
<div class="gcdc-form-group gcdc-form-group-first_name gcdc-form-group-first-name"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cfirst_name_1703004284632"
id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_first_name">First Name <span class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field" type="text" name="first-name" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cfirst_name_1703004284632" value="" placeholder="" maxlength="100"
aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_first_name" required="required" aria-required="true"></div><span class="gcdc-form-error" role="alert" aria-live="assertive">First name is required.</span>
</div>
<div class="gcdc-form-group gcdc-form-group-last_name gcdc-form-group-last-name"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819clast_name_1703004284632"
id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_last_name">Last Name <span class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field" type="text" name="last-name" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819clast_name_1703004284632" value="" placeholder="" maxlength="100"
aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_last_name" required="required" aria-required="true"></div><span class="gcdc-form-error" role="alert" aria-live="assertive">Last name is required.</span>
</div>
<div class="gcdc-form-group gcdc-form-group-job_title gcdc-form-group-job-title"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cjob_title_1703004284632" id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_job_title">Job
Title <span class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field" type="text" name="job-title" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cjob_title_1703004284632" value="" placeholder="" maxlength="100"
aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_job_title" required="required" aria-required="true"></div><span class="gcdc-form-error" role="alert" aria-live="assertive">Job title is required.</span>
</div>
<div class="gcdc-form-group gcdc-form-group-padded gcdc-form-group-customcontent gcdc-form-group-Label5">How can we reach you?</div>
<div class="gcdc-form-group gcdc-form-group-email"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cemail_1703004284632" id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_email">Email <span
class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field" type="email" name="email" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cemail_1703004284632" placeholder="Please enter your full email address"
pattern="^[A-Z0-9._%+'-]+@[A-Z0-9.-]+\.[A-Z]{2,}$" value="" maxlength="100" aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_email" required="required" aria-required="true"></div><span class="gcdc-form-error" role="alert"
aria-live="assertive">Email address is required. Please provide a business email address</span>
</div>
<div class="gcdc-form-group gcdc-form-group-multiphone gcdc-form-group-phone gcdc-form-group-valid"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cphone_1703004284632"
id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_phone">Phone <span class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field" type="tel" name="phone" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cphone_1703004284632" value="" maxlength="100" style="display: none;"
pattern="^(?:\+[0-9\s\(\)\-\.]{9,20})$" aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_phone">
<div class="gcdc-form-field-wrapper gcdc-select-wrapper"><select class="gcdc-form-field gcdc-phonemulti-code" aria-label="Select your country dialling code">
<option value=""></option>
<option value="+1">+1</option>
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<option value="+996">+996</option>
<option value="+998">+998</option>
</select></div><input class="gcdc-form-field gcdc-phonemulti-main" type="tel" maxlength="100" placeholder="" aria-label="Enter your phone number"><span class="gcdc-form-region-flag" for="7291a9bc-bea2-4142-8a2b-c699eda5819cphone"><span
class="gcdc-flag gcdc-flag-tel gcdc-flag-de"></span></span>
</div><span class="gcdc-form-error" role="alert" aria-live="assertive">This is not a valid phone number</span>
</div>
<div class="gcdc-form-group gcdc-form-group-padded gcdc-form-group-customcontent gcdc-form-group-Label6">What is your business location and size?</div>
<div class="gcdc-form-group gcdc-form-group-company"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819ccompany_1703004284632" id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_company">Company Name <span
class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field" type="text" name="company" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819ccompany_1703004284632" value="" placeholder="" maxlength="100"
aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_company" required="required" aria-required="true"></div><span class="gcdc-form-error" role="alert" aria-live="assertive">Company is required.</span>
</div>
<div class="gcdc-form-group gcdc-form-group-country gcdc-form-group-hasvalue"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819ccountry_1703004284632" id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_country">Where is
your business based? <span class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field gcdc-form-country gcdc-country-selected" type="text" name="country" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819ccountry_1703004284632" value="" placeholder=""
maxlength="100" aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_country" required="required" aria-required="true" autocomplete="new-country" data-gcdc-country="DE" data-gcdc-country-value="Germany"><span class="gcdc-clear-selection"
for="7291a9bc-bea2-4142-8a2b-c699eda5819ccountry" title="Clear current selection" style="display: block;"></span><span class="gcdc-form-region-flag" for="7291a9bc-bea2-4142-8a2b-c699eda5819ccountry"><span
class="gcdc-flag gcdc-flag-country gcdc-flag-de"></span></span>
<div class="gcdc-autocomplete-box" style="display: none;">
<ul></ul>
</div>
</div><span class="gcdc-form-error" role="alert" aria-live="assertive">Country is required.</span>
</div>
<div class="gcdc-form-group gcdc-form-group-select gcdc-form-group-Annual_Processing gcdc-form-group-annual_processing"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cAnnual_Processing_1703004284632"
id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_Annual_Processing">Annual Processing Volume (USD) <span class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper gcdc-select-wrapper"><select class="gcdc-form-field" name="annual_processing" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cAnnual_Processing_1703004284632"
aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_Annual_Processing" required="required" aria-required="true" placeholder="Please select an option">
<option value="">Please select an option</option>
<option value="Not processing yet">Not processing yet</option>
<option value="0 - 1 Million">0 - 1 Million</option>
<option value="1 - 10 Million">1 - 10 Million</option>
<option value="10 - 25 Million">10 - 25 Million</option>
<option value="25 - 100 Million">25 - 100 Million</option>
<option value="100 Million - 1 Billion">100 Million - 1 Billion</option>
<option value="1 - 5 Billion">1 - 5 Billion</option>
<option value="5 Billion+">5 Billion+</option>
</select></div><span class="gcdc-form-error" role="alert" aria-live="assertive">This field is required</span>
</div>
<div class="gcdc-form-group gcdc-form-group-padded gcdc-form-group-customcontent gcdc-form-group-Label7">Tell us more</div>
<div class="gcdc-form-group gcdc-form-group-select gcdc-form-group-Product_of_interest gcdc-form-group-multiselect"><label class="gcdc-form-label" for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632"
id="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_Product_of_interest">What product/s are you interested in? <span class="gcdc-required-marker gcdc-status-marker">*</span></label>
<div class="gcdc-form-field-wrapper gcdc-select-wrapper"><select class="gcdc-form-field" name="Product_of_interest" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632"
aria-labelledby="7291a9bc-bea2-4142-8a2b-c699eda5819c_lbl_Product_of_interest" required="required" aria-required="true" multiple="true" placeholder="Please select an option" style="display: none;">
<option value="Payment processing">Payment processing</option>
<option value="Payouts">Payouts</option>
<option value="Fraud Detection">Fraud Detection</option>
<option value="Issuing">Issuing</option>
<option value="Intelligent Acceptance">Intelligent Acceptance</option>
<option value="Identify Verification">Identify Verification</option>
<option value="Authentication">Authentication</option>
<option value="Integrated Platforms">Integrated Platforms</option>
</select>
<div class="multiselect-wrapper" id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632_multiSelect">
<div class="multiselect-input-div"><input id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632_input" class="gcdc-form-field multiselect-input" autocomplete="off" type="text"
placeholder="Please select an option"><label id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632_inputCount" class="multiselect-count"
for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632_input" style="visibility: hidden;">0</label><label class="multiselect-dropdown-arrow"
for="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632_input"></label></div>
<div id="gcdc-field-7291a9bc-bea2-4142-8a2b-c699eda5819cProduct_of_interest_1703004284632_itemList" class="multiselect-list"><span style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="-1"><span
class="multiselect-text">Select all</span></label></span>
<hr style="display: block;">
<ul>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Payment processing"
data-multiselect-element="{"id":"Payment processing","index":0,"text":"Payment processing","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Payment processing</span></label></li>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Payouts"
data-multiselect-element="{"id":"Payouts","index":1,"text":"Payouts","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Payouts</span></label></li>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Fraud Detection"
data-multiselect-element="{"id":"Fraud Detection","index":2,"text":"Fraud Detection","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Fraud Detection</span></label></li>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Issuing"
data-multiselect-element="{"id":"Issuing","index":3,"text":"Issuing","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Issuing</span></label></li>
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Products Payment Services Payment Processing Accept online payments globally Payouts Move money directly to bank accounts and cards Issuing Craft physical and virtual card options Payment Integrations Ways to connect to our payments platform Platforms Connecting buyers, sellers, suppliers, & more Payment Methods Cards, wallets, transfers, vouchers, & more Revenue Optimization Fraud Detection Detect, deter, and respond to payments fraud Authentication Seamless compliance-ready authentication Intelligent Acceptance Boost your revenue with better acceptance rates Identity Verification AI video verification for identity, docs, & KYC Real Time Account Updater Updated, uninterrupted, real-time payments Network Tokens Next-gen security & encryption Solutions Use Cases Ecommerce Retail, fashion, consumer goods, digital services Fintech Neobanks, money transfer, trading, insurance Gaming Sports, esports, game streaming, virtual reality Crypto Exchanges, wallets Marketplaces Multi-sided markets, platforms Payment Facilitators Fintechs & financial service providers Our Ecosystem International Coverage One powerful network that scales your business Our Partners Tech stack partners & plugin payment options Documentation & Resources documentation Docs Step-by-step guides and technical know-how API Reference A comprehensive API guide to get you started Test Account Play, test, simulate, & access the latest features Resources Resources Bridging the payment knowledge gap Case Studies Real-world success stories from leading brands Support Help & expertise for all your questions Company About us Our Mission Learn how we help businesses to thrive Our Customers See what we do for the world's leading businesses Leadership Meet the people guiding us to success Newsroom Read press releases & download our press kit Contact Us Speak to us to discover performance payments people & careers Life at Checkout.com Join our team of passionate payments experts Open Positions Explore opportunities at Checkout.com Diversity and Inclusion See how we invest in diversity, equity, & more Sign In Get in touch Would you like to change your region to see content specific to your location? Global (English) Select your location Products and features may vary by country COUNTRIES France (Français) Germany (Deutsch) Spain (Español) Italy (italiano) United Arab Emirates (اللغة العربية) Saudi Arabia (اللغة العربية) Portugal (Português) China (中文) Continue CONTACT SALES With our enterprise payment processing platform you can accept more currencies and payment methods through a singular API integration CONTACT SALES BY PHONE United Kingdom (HQ) +44 207 323 3888 United States +1 415 691 4688 Germany +49 30 8878 9157 France +33 187 169 980 Portugal +351 22 120 8500 Spain +34 919 01 21 70 United Arab Emirates +971 4 420 2886 Saudi Arabia +966 11 510 3266 China +86 021 8051 0459 Hong Kong +852 3002 4051 Japan +81368453717 Singapore +65 6929 0270 New Zealand +64 9 888 8625 Ireland +353 1 574 7380 Tell us a bit about yourself First Name * First name is required. Last Name * Last name is required. Job Title * Job title is required. How can we reach you? 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