ResAvenue
EventAvenue

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* Please fill out this form completely, and then press submit to continue.
* Click here to find out the procedure followed by CCAvenue , after you sign up this form.
* Click here to find out which businesses CCAvenue doesn't accept.
Contact Details
Salutation :
First Name * :  
Middle Name :
Last Name * :
Business Filing Status * :
Pay To * :  
This name will appear on our payment cheques issued by us to you.
Country * :
State * :
If your state name is not listed, please specify
City * :
ZIP / PIN * :
Enter 'NA' if your city doesn't have PIN/ZIP code.
Mailing Address *
:
Phone No.*
(For CCAvenue use only.) 		: - -
(e.g. : 91 - 22 - 26000816)
(Enter Country and City codes.)
Toll Free / Residence No. :
Mobile No. : +
(e.g. : 91-9812345678)
Fax No.
(For CCAvenue use only.) 		: - -
(e.g. : 91 - 22 - 26000816)
(Enter Country and City codes.)
Email Address * :  
Website Details
Website (URL) * : http://
[ Ex- www.ccavenue.com ]
Account Type * :   what is this?
Bank Details    What is this?
Bank Name * : Account No * :
Account Type * : Branch Details* :
Mode Of Operation * : Country *

ZIP / PIN 		:
Owners/Promoters
Name * : Age * : Yrs.
Sex * : Educational Qualification * :
Residential
Address * 		: Financial Stake * : %
Angel / VC funding details
( If Any ) 		:
Brief Description

Brief Description about your Company & Site *

:

Description of Products & Services you intend to sell using our Payment Gateway*

:
Logistics Partner Details *
(Details of how and through what mode you will deliver your Products/ Services.)
 :  

Minimum cost of unit sold *
(in USD)

 :

Average cost of unit sold *
(in USD)

 :

Number of Transactions

 : Per Month
Login Details
Username * :
(6 to 8 characters long only.)
Password * :
(6 to 8 characters long only.)
Re-enter Password * :
Secret Question * :
Secret Answer * :
Please take a moment to review
Terms of Service and Operating Rules and Regulations
Non-Acceptable Products List
By completing this form and checking this box, I certify that I have read and agree to CCAvenue's Terms of Service and Operating Rules and Regulations.
By completing this form and checking this box, I certify that my products do not conform to CCAvenue's list of non-acceptable Products.
By completing this form and checking this box, I agree to maintain a minimum balance of USD 50.00/- in my CCAvenue account. I also agree to CCAvenue's Rolling Reserve deposit of 5% of the weekly payment amount which will be released by CCAvenue™ after a period of 180 days.
 Confirmation code:
  Enter the code exactly as it appears.There is no zero.
 


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