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2606:4700:4400::ac40:947c
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URL:
https://www.checkout.com/contact-us
Submission: On October 01 via manual from GB — Scanned from GB
Submission: On October 01 via manual from GB — Scanned from GB
Form analysis 1 forms found in the DOM
Name: EN_Contact_Us---C-version-(light)_1727778322805 — POST https://go.checkout.com/l/844983/2021-05-21/3x9p52
<form class="gcdc-form-render gcdc-form-render-formContactNoLabels2401 gcdc-form-render-formcontactnolabels2401" novalidate="novalidate" method="post" action="https://go.checkout.com/l/844983/2021-05-21/3x9p52"
id="gate-5053bb96-fce6-4691-a619-5499366d04a5_form_1727778322805" name="EN_Contact_Us---C-version-(light)_1727778322805" 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-5053bb96-fce6-4691-a619-5499366d04a5first_name_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5first_name_1727778322805" value="" placeholder="" maxlength="100"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_first_name" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_first_name_validationMessage" required="required" aria-required="true"></div><span class="gcdc-form-error"
role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_first_name_validationMessage">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-5053bb96-fce6-4691-a619-5499366d04a5last_name_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5last_name_1727778322805" value="" placeholder="" maxlength="100"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_last_name" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_last_name_validationMessage" required="required" aria-required="true"></div><span class="gcdc-form-error"
role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_last_name_validationMessage">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-5053bb96-fce6-4691-a619-5499366d04a5job_title_1727778322805" id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5job_title_1727778322805" value="" placeholder="" maxlength="100"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_job_title" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_job_title_validationMessage" required="required" aria-required="true"></div><span class="gcdc-form-error"
role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_job_title_validationMessage">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-5053bb96-fce6-4691-a619-5499366d04a5email_1727778322805" id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5email_1727778322805" placeholder="Please enter your full email address"
pattern="^[A-Z0-9._%+'-]+@[A-Z0-9.-]+\.[A-Z]{2,}$" value="" maxlength="100" aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_email" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_email_validationMessage"
required="required" aria-required="true"></div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_email_validationMessage">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-5053bb96-fce6-4691-a619-5499366d04a5phone_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5phone_1727778322805" value="" maxlength="100" style="display: none;"
pattern="^(?:\+[0-9\s\(\)\-\.]{9,20})$" aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_phone" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_phone_validationMessage">
<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>
<option value="+20">+20</option>
<option value="+211">+211</option>
<option value="+212">+212</option>
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<option value="+961">+961</option>
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<option value="+964">+964</option>
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<option value="+975">+975</option>
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<option value="+98">+98</option>
<option value="+992">+992</option>
<option value="+993">+993</option>
<option value="+994">+994</option>
<option value="+995">+995</option>
<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="5053bb96-fce6-4691-a619-5499366d04a5phone"><span
class="gcdc-flag gcdc-flag-tel gcdc-flag-gb"></span></span>
</div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_phone_validationMessage">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-5053bb96-fce6-4691-a619-5499366d04a5company_1727778322805" id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5company_1727778322805" value="" placeholder="" maxlength="100"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_company" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_company_validationMessage" required="required" aria-required="true"></div><span class="gcdc-form-error" role="alert"
aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_company_validationMessage">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-5053bb96-fce6-4691-a619-5499366d04a5country_1727778322805" id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5country_1727778322805" value="" placeholder=""
maxlength="100" aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_country" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_country_validationMessage" required="required" aria-required="true" autocomplete="new-country"
data-gcdc-country="GB" data-gcdc-country-value="United Kingdom"><button class="gcdc-clear-selection" for="5053bb96-fce6-4691-a619-5499366d04a5country" title="Clear current selection" aria-label="Clear current selection"
style="display: block;"></button><span class="gcdc-form-region-flag" for="5053bb96-fce6-4691-a619-5499366d04a5country"><span class="gcdc-flag gcdc-flag-country gcdc-flag-gb"></span></span>
<div class="gcdc-autocomplete-box" style="display: none;">
<ul></ul>
</div>
</div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_country_validationMessage">Country is required.</span>
</div>
<div class="gcdc-form-group gcdc-form-group-select gcdc-form-group-state gcdc-form-group-state-province hidden"><label class="gcdc-form-label" for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5state_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_state">State/Province <span class="gcdc-optional-marker gcdc-status-marker"></span></label>
<div class="gcdc-form-field-wrapper gcdc-select-wrapper"><select class="gcdc-form-field" name="state-province" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5state_1727778322805"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_state" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_state_validationMessage" placeholder="Please select an option">
<option value="">Please select an option</option>
<option value="AK">Alaska</option>
<option value="AL">Alabama</option>
<option value="AR">Arkansas</option>
<option value="AZ">Arizona</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DC">District of Columbia</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="IA">Iowa</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="MA">Massachusetts</option>
<option value="MD">Maryland</option>
<option value="ME">Maine</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MO">Missouri</option>
<option value="MS">Mississippi</option>
<option value="MT">Montana</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NE">Nebraska</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NV">Nevada</option>
<option value="NY">New York</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VA">Virginia</option>
<option value="VT">Vermont</option>
<option value="WA">Washington</option>
<option value="WI">Wisconsin</option>
<option value="WV">West Virginia</option>
<option value="WY">Wyoming</option>
</select></div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_state_validationMessage">This field 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-5053bb96-fce6-4691-a619-5499366d04a5Annual_Processing_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5Annual_Processing_1727778322805"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Annual_Processing" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Annual_Processing_validationMessage" 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 - 250 Million">100 Million - 250 Million</option>
<option value="250 Million to 1 Billion">250 Million to 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" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Annual_Processing_validationMessage">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-flowWhatFeaturesInterest gcdc-form-group-flow-what-features-interest gcdc-form-group-multiselect hidden"><label class="gcdc-form-label"
for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5flowWhatFeaturesInterest_1727778322805" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_flowWhatFeaturesInterest">What are you interested in? <span
class="gcdc-optional-marker gcdc-status-marker"></span></label>
<div class="gcdc-form-field-wrapper gcdc-select-wrapper"><select class="gcdc-form-field" name="flow-what-features-interest" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5flowWhatFeaturesInterest_1727778322805"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_flowWhatFeaturesInterest" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_flowWhatFeaturesInterest_validationMessage" multiple="true" placeholder="Please select an option">
<option value="Flow">Flow</option>
<option value="Remember Me">Remember Me</option>
<option value="Standalone Flow">Standalone Flow</option>
</select></div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_flowWhatFeaturesInterest_validationMessage">This field is required</span>
</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-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_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-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Product_of_interest" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Product_of_interest_validationMessage" 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-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805_multiSelect">
<div class="multiselect-input-div"><input id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805_input" class="gcdc-form-field multiselect-input" autocomplete="off" type="text"
placeholder="Please select an option"><label id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805_inputCount" class="multiselect-count"
for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805_input" style="visibility: hidden;">0</label><label class="multiselect-dropdown-arrow"
for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805_input"></label></div>
<div id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Product_of_interest_1727778322805_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>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Intelligent Acceptance"
data-multiselect-element="{"id":"Intelligent Acceptance","index":4,"text":"Intelligent Acceptance","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Intelligent Acceptance</span></label></li>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Identify Verification"
data-multiselect-element="{"id":"Identify Verification","index":5,"text":"Identify Verification","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Identify Verification</span></label></li>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Authentication"
data-multiselect-element="{"id":"Authentication","index":6,"text":"Authentication","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Authentication</span></label></li>
<li style="display: block;"><label><input class="multiselect-checkbox" type="checkbox" data-val="Integrated Platforms"
data-multiselect-element="{"id":"Integrated Platforms","index":7,"text":"Integrated Platforms","selected":false,"selectElement":{},"multiselectElement":{}}"><span
class="multiselect-text">Integrated Platforms</span></label></li>
</ul>
</div>
</div>
</div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Product_of_interest_validationMessage">This field is required</span>
</div>
<div class="gcdc-form-group gcdc-form-group-select gcdc-form-group-Line_of_business hidden"><label class="gcdc-form-label" for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Line_of_business_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Line_of_business">What is your line of business? <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="Line_of_business" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Line_of_business_1727778322805"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Line_of_business" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Line_of_business_validationMessage" required="required" aria-required="true"
placeholder="Please select an option">
<option value="">Please select an option</option>
<option value="Digital Advertising">Digital Advertising</option>
<option value="Artificial Intelligence">Artificial Intelligence</option>
<option value="Ecommerce">Ecommerce</option>
<option value="Data and Analytics">Data and Analytics</option>
<option value="Financial Services">Financial Services</option>
<option value="Gaming">Gaming</option>
<option value="Payments">Payments</option>
<option value="Mobile hardware">Mobile hardware</option>
<option value="Cybersecurity">Cybersecurity</option>
<option value="Software">Software</option>
<option value="Hardware">Hardware</option>
<option value="Healthcare">Healthcare</option>
<option value="Information technology">Information technology</option>
<option value="Cloud Infrastructure and Services">Cloud Infrastructure and Services</option>
<option value="Media & Entertainment">Media & Entertainment</option>
<option value="Other">Other</option>
</select></div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_Line_of_business_validationMessage">This field is required</span>
</div>
<div class="gcdc-form-group gcdc-form-group-select gcdc-form-group-How_did_you_hear_about_us"><label class="gcdc-form-label" for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5How_did_you_hear_about_us_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us">How did you hear about us? <span class="gcdc-optional-marker gcdc-status-marker"></span></label>
<div class="gcdc-form-field-wrapper gcdc-select-wrapper"><select class="gcdc-form-field" name="How_did_you_hear_about_us" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5How_did_you_hear_about_us_1727778322805"
aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us_validationMessage" placeholder="Please select an option">
<option value="">Please select an option</option>
<option value="Online Research">Online Research</option>
<option value="Word Of Mouth">Word Of Mouth</option>
<option value="Google">Google</option>
<option value="Partner">Partner</option>
<option value="Ads">Ads</option>
<option value="Other">Other</option>
</select></div><span class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us_validationMessage">This field is required</span>
</div>
<div class="gcdc-form-group gcdc-form-group-How_did_you_hear_about_us_other hidden"><label class="gcdc-form-label" for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5How_did_you_hear_about_us_other_1727778322805"
id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us_other">Other, please specify <span class="gcdc-optional-marker gcdc-status-marker"></span></label>
<div class="gcdc-form-field-wrapper"><input class="gcdc-form-field" type="text" name="How_did_you_hear_about_us_other" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5How_did_you_hear_about_us_other_1727778322805" value="" placeholder=""
maxlength="255" aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us_other" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us_other_validationMessage"></div><span
class="gcdc-form-error" role="alert" aria-live="assertive" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_How_did_you_hear_about_us_other_validationMessage">This field is required</span>
</div>
<div class="gcdc-form-group gcdc-form-group-padded gcdc-form-group-checkbox gcdc-form-group-optin gcdc-form-group-accept-conditions"><input class="gcdc-form-field" type="checkbox" name="accept-conditions"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5optin_1727778322805" value="true" aria-labelledby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_optin" aria-describedby="5053bb96-fce6-4691-a619-5499366d04a5_lbl_optin_validationMessage"><label
class="gcdc-form-label" for="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5optin_1727778322805" id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_optin">Check this box to receive marketing updates from Checkout.com or its partners about
Checkout.com’s products, services, training, events and content. <span class="gcdc-optional-marker gcdc-status-marker"></span></label><span class="gcdc-form-error" role="alert" aria-live="assertive"
id="5053bb96-fce6-4691-a619-5499366d04a5_lbl_optin_validationMessage">This field is required</span></div>
<div class="gcdc-form-group gcdc-form-group-padded gcdc-form-group-customcontent gcdc-form-group-Label8">If we are not able to provide you with services we will pass your details to a trusted partner who may be in touch with you. </div><input
type="hidden" name="Annual_Processing_A_B_Test" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Annual_Processing_A_B_Test_1727778322805" value=""><input type="hidden" name="CampaignID"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5CampaignID2_1727778322805" value=""><input type="hidden" name="gaclientid" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5GACLIENTID_1727778322805" value=""><input type="hidden"
name="gatrackid" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5GATRACKID_1727778322805" value=""><input type="hidden" name="GAUSERID" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5GAUSERID_1727778322805" value=""><input type="hidden"
name="GCLID" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5GCLID_1727778322805" value=""><input type="hidden" name="hot_form" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Hot_Form_1727778322805" value="true"
class="gcdc-form-group-hasvalue"><input type="hidden" name="How_did_you_hear_about_us_hidden" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5How_did_you_hear_about_us_hidden_1727778322805" value=""><input type="hidden"
name="LastCampaignMemberStatus" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5LastCampaignMemberStatus_1727778322805" value="Responded" class="gcdc-form-group-hasvalue"><input type="hidden" name="LastCampaignMemberSubstatus"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5LastCampaignMemberSubstatus_1727778322805" value=""><input type="hidden" name="LastSubsourceCampaign" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5LastSubsourceCampaign_1727778322805"
value=""><input type="hidden" name="LastSubsourceCreative" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5LastSubsourceCreative_1727778322805" value=""><input type="hidden" name="lead-submission"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Lead_Submission_1727778322805" value="subID=24101-112522-OYqJ|httpReferer=|entryURL=https://www.checkout.com/contact-us|submissionURL=https://www.checkout.com/contact-us"><input type="hidden"
name="Marketingnotes" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Marketingnotes_1727778322805" value="This person completed the Contact Us form on our website and they have a request" class="gcdc-form-group-hasvalue"><input type="hidden"
name="tracking-blocked" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Tracking_Blocked_1727778322805" value="false" class="gcdc-form-group-hasvalue"><input type="hidden" name="tracking-onetrust"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5Tracking_OneTrust_1727778322805" value="undetermined" class="gcdc-form-group-hasvalue"><input type="hidden" name="asset_name"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5asset_name_1727778322805" value=""><input type="hidden" name="asset_url" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5asset_url_1727778322805" value=""><input type="hidden"
name="content_consumption_event_category" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5content_consumption_event_category_1727778322805" value=""><input type="hidden" name="default_utm_campaign"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5default_utm_campaign_1727778322805" value="Direct" class="gcdc-form-group-hasvalue"><input type="hidden" name="entryUrl" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5entryUrl_1727778322805"
value="https://www.checkout.com/contact-us" class="gcdc-form-group-hasvalue"><input type="hidden" name="form-category" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5formCategory_1727778322805" value="Hot Form"
class="gcdc-form-group-hasvalue"><input type="hidden" name="form_page_url" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5form_page_url_1727778322805" value="https://www.checkout.com/contact-us" class="gcdc-form-group-hasvalue"><input
type="hidden" name="form-type" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5form_type_1727778322805" value="formContactNoLabels2401" class="gcdc-form-group-hasvalue"><input type="hidden" name="gate_id"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5gate_id_1727778322805" value="5053bb96-fce6-4691-a619-5499366d04a5" class="gcdc-form-group-hasvalue"><input type="hidden" name="gate_language_code"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5gate_language_code_1727778322805" value="en" class="gcdc-form-group-hasvalue"><input type="hidden" name="gate_name" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5gate_name_1727778322805"
value="EN_Contact_Us - C version (light)" class="gcdc-form-group-hasvalue"><input type="hidden" name="gate_type" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5gate_type_1727778322805" value="general" class="gcdc-form-group-hasvalue"><input
type="hidden" name="goalType" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5goalType_1727778322805" value="ContactUs" class="gcdc-form-group-hasvalue"><input type="hidden" name="lead-source"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5leadSource_1727778322805" value="Direct" class="gcdc-form-group-hasvalue"><input type="hidden" name="lead-source-2" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5leadSource2_1727778322805"
value="Organic" class="gcdc-form-group-hasvalue"><input type="hidden" name="lead-source-detail" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5leadSourceDetails_1727778322805" value="Website" class="gcdc-form-group-hasvalue"><input
type="hidden" name="marketing-comments" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5marketingComments_1727778322805" value=""><input type="hidden" name="monthly-volume-calculated"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5monthlyVolumeCalculated_1727778322805" value=""><input type="hidden" name="operating_system" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5operating_system_1727778322805"
value="Linux Unknown" class="gcdc-form-group-hasvalue"><input type="hidden" name="referrer" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5referrer_1727778322805" value=""><input type="hidden" name="referrerUrl"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5referrerUrl_1727778322805" value=""><input type="hidden" name="submission_date" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5submission_date_1727778322805" value=""><input type="hidden"
name="submission_type" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5submission_type_1727778322805" value=""><input type="hidden" name="success_location" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5success_location_1727778322805"
value=""><input type="hidden" name="user_agent" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5user_agent_1727778322805" value="Mozilla/5.0 (X11; Linux x86_64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/129.0.0.0 Safari/537.36"
class="gcdc-form-group-hasvalue"><input type="hidden" name="utm_campaign" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5utm_campaign_1727778322805" value="None" class="gcdc-form-group-hasvalue"><input type="hidden" name="utm_content"
id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5utm_content_1727778322805" value="None" class="gcdc-form-group-hasvalue"><input type="hidden" name="utm_medium" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5utm_medium_1727778322805"
value="Organic/Direct" class="gcdc-form-group-hasvalue"><input type="hidden" name="utm_multitouch" id="gcdc-field-5053bb96-fce6-4691-a619-5499366d04a5utm_multitouch_1727778322805"
value="2024-10-01 11:25:22:utmCampaign=None&utmMedium=Organic/Direct&utmSource=None&utmContent=None&utmTerm=None|" class="gcdc-form-group-hasvalue"><input type="hidden" name="utm_source"
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Products Connect Global payments network Move Payins and payouts Protect Fraud, risk, & compliance Boost Payment performance Manage Money movement controls Back Connect Accept Online Process online payments your way. Unified Payments API Connect to Checkout.com via a single API. Flow Boost conversion with customizable blocks. Hosted Payment Page Let Checkout.com host your payment page. Mobile SDK Build native mobile checkout experiences. Payments Links Accept payments on any channel. Plugins Plug your payments into platforms. Back Move Acquiring Accept payments globally with local acquiring. Payment Methods Process payments with cards, wallets, transfers, and vouchers. Issuing Create your own physical and virtual cards. Payouts Move money directly to bank accounts and cards. Back Protect Fraud Detection Detect and deter payment fraud. Authentication Simplify authentication and compliance. Identity Verification Verify identities, docs, and KYC with AI-powered video. Disputes Protect against chargebacks and manage disputes. Vault Protect, store, enrich, and exchange your payment data. Back Boost Intelligent Acceptance Boost your revenue with AI-powered optimizations. Network Tokens Deploy advanced payment security and encryption. Real-Time Account Updater Keep payments flowing for subscriptions and more. Back Manage Dashboard Orchestrate payments and finances in one place. Treasury & FX Refine financial and cash flow management. 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