Go-Pay Activation Merchant Request
Merchant Request from CS, ME, AM.
Notes : for now we can only proceed for Jabo Merchant, for Non-Jabo we can only collect the requests
Submitted by *
Jabodetabek *
AM / SME Merchants *
Already Have E-Wallet *
Owner Name *
Your answer
Owner Email *
Your answer
Owner Phone *
Your answer
Business ID
Your answer
Business Name *
Your answer
Business Address *
Your answer
Outlet Number *
Your answer
Outlet ID *
Your answer
Area *
Postal Code *
Your answer
Merchant Entity *
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