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Thank you for your interest in Accent®

You are visiting us today from United States (3.148.108.201)

Return and update your order

TO UPDATE THIS ORDER AND UPLOAD YOUR IDs, enter here.

You can contact us at: support@accentcommerce.com.

Please review the site before applying

To apply for new Accent® services, please follow the instructions in this application form.

Not Listed countries - If your country is not listed on the address drop down menu, we do not provide services there. Please inquire before completing an application.

Please fill in all the fields marked with an * - the more information you provide, the quicker the application can be processed.

Personal information
First name *:			Last name *:
Note: Phone format is (Country code) - Phone number.
Phone day *:			Phone evening *:
E-Mail address *:
Date of birth *:			Preferred language*:

Primary Street address (residence)
Street address *:			City *:
State / Province:			Country *:
Post code *:

Secondary Street address (mailing)
Street address *:			City *:
State / Province:			Country *:
Post code *:

Professional information
Occupation / Profession *:			Your Business or Employer name *:
Your Website URL (Mandatory for Business) *:			Years in business *:

Type of product or service (Describe in full detail as well as source of income) *:			Your Current Bank (Bank name, city, country) *:


Passport information
Note: SSN format is 123-45-6789
Social Security Number *:
Passport number:		Issued from:
Expiration date:

	Or IF you do NOT have a passport, complete the ID card section - please only fill ONE section

ID Card number:		ID Card type:
Issued from:


Select a password to access AccentCommerce Client Login (REMEMBER THIS PASSWORD)
	Note: Alphanumeric only. English characters.
	Note: Password will be encrypted.
	Password:	Repeat password:


Security questions
Mother's Maiden name *:
Security Question #2 *:
A)What is the intended use of the account? \| B)What is anticipated monthly deposits (in US$)?(describe in detail, do not leave any part blank) *:
From where or what system will you be making deposits?(describe in detail)*:


Payment methods

	PLEASE CONTACT US FOR PAYMENT OPTIONS Application fee (upon approval) is US$150.00 plus $100 account minimum opening balance ( TOTAL $250.00).


Read before submitting
Updated Feb 2012. -PLEASE READ- Before you submit your order, please make sure that you will be able to comply with the ID Verification process. You will be asked to provide three documents - a valid Passport, a valid government issued photo ID (preferably with address), as well as a current bank statement (we do NOT accept utility bills) in your name with a matching address to this application. If you are unable or unwilling to provide these documents (clear color scans and then upload), please do not submit this application. There is no guarantee that your application will be accepted. We will notify you if it has or has not been accepted. After you complete the application and it is accepted you will be receiving an email telling you how to finalise the application and submit your application payment. Once your application has been accepted and payment made, there are no refunds. NOTE: ID's and documents submitted must contain the English language. If your documents do not contain English language in the descriptions and details, please include the translations in your scans. Not all documents can or will be accepted. If you have any questions about the eligibility of the documents you will be providing, please ask in advance. ACCENT is not a prepaid product or service. Please make sure you understand what you are applying for and at least have a working knowledge of US bank account regulations and usage. Accounts and account services provided are owned and operated by Accentcommerce. We will be more than glad to assist you with any questions you may have. Before applying, make sure that you are aware of your local regulations regarding accounts in another country. You understand that any unlawful or prohibited use of the account by you will result in immediate termination and reporting where required by US or applicable law. US Law applies and governs all services provided. We do not provide services to US registered companies . We do provide services to individuals who reside outside of the USA and they can use our services for their business purposes. MAKE SURE YOU HAVE READ AND UNDERSTOOD ALL THE DISCLOSURES ON THE SITE. ASK QUESTIONS FIRST PLEASE. BY CLICKING ON THE "SUBMIT THE FORM" BUTTON BELOW YOU CERTIFY THAT YOU HAVE READ AND UNDERSTOOD THE TERMS AND CONDITIONS AS WELL AS ALL OTHER NOTICES AND RESTRICTIONS PRESENT ON THIS WEBSITE THAT APPLY. YOU ALSO UNDERSTAND THAT WE DO NOT PROVIDE SERVICES TO ALL COUNTRIES. THIS IS NOT AN INDUCEMENT TO BUY OR PARTICIPATE AND YOU ASSUME ALL RESPONSIBILITY AND LIABILITY FOR YOUR ACTIONS.