Acquire by WCTPay Waitlist form
Sign in to Google to save your progress. Learn more
Partner Basics
Full name *
Work email *
Company / Brand name *
Website / primary profile link *
Country & time zone *
Phone / WhatsApp (incl. country code) *
About your audience & reach
What best describes you? *
Primary regions you operate in *
Merchant verticals you can refer *
Required
Estimated # of qualified merchant referrals in next 90 days *
Compliance & fit
Are you comfortable with KYC/KYT requirements for referred merchants? *
Types of businesses you will not refer
Confirm you’re referring legitimate businesses you have permission to introduce *
Required
Payment & ops setup
Preferred payout currency *
Billing/contact details for payouts (name + email)
Links & proof
Share 1–3 links that show your audience or merchant reach.
(Website, LinkedIn page, community, portfolio, case study, etc.)
Relevant notes
Legal & consent
Consent to program terms. *
Required
Marketing consent.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report