VIVIX - Accept Cryptocurrency Payments

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Fill out the form below to start acepting cryptocurrency payments for you retail or e-commerce business.

Company Contact Info

Company Name

Phone Number

Company Address

Address 2

City

State

Zip

Company Website

Business Industry Type ?

Date of Incorporation

Unique Entity Identifier (UEI)

Average Price of Product Service (USD)

Average Numner of Transactions

Personal Owner Contact

Company Owner Name

Date of Birth

Address

Address 2

City

State

Zip

BANK INFO

Bank Name

Account Number

Routing Number

SWIFT/BIC

IBAN

Bank Address

Bank Address 2

Bank City

Bank State

Bank Zip

Full Merchant Application

Feel free to download the full merchant application as another option.

Please send filled out applications to:
support@vivix.io

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Contact Us
Phone

+1-805-917-6575
E-mail

support@vivix.io
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Company Contact Info

Personal Owner Contact

BANK INFO

Full Merchant Application

Contact Us

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E-mail

Social

APPOINTMENT

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Company Contact Info

Personal Owner Contact

BANK INFO

Full Merchant Application

Contact Us

Phone

E-mail

Social

APPOINTMENT