meet.terrapay.com
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Submitted URL: http://meet.terrapay.com/
Effective URL: https://meet.terrapay.com/
Submission: On November 29 via manual from BH — Scanned from DE
Effective URL: https://meet.terrapay.com/
Submission: On November 29 via manual from BH — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/6929286/77b413c1-79cb-4b02-b6f5-f07b64304fea
<form id="hsForm_77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" method="POST" accept-charset="UTF-8" enctype="multipart/form-data" novalidate=""
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for="firstname-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>First Name</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="firstname-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" name="firstname" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="given-name" value=""></div>
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<div class="hs_lastname hs-lastname hs-fieldtype-text field hs-form-field"><label id="label-lastname-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Last Name"
for="lastname-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>Last Name</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="lastname-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" name="lastname" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="family-name" value=""></div>
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<div class="hs_mobilephone hs-mobilephone hs-fieldtype-phonenumber field hs-form-field"><label id="label-mobilephone-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Phone Number"
for="mobilephone-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>Phone Number</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: block;">Use International Format (+1 234 567 8901, for example)</legend>
<div class="input"><input id="mobilephone-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" name="mobilephone" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="tel" value=""></div>
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<div class="hs_email hs-email hs-fieldtype-text field hs-form-field"><label id="label-email-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Email"
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<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="email-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" name="email" required="" placeholder="" type="email" class="hs-input" inputmode="email" autocomplete="email" value=""></div>
</div>
<div class="hs_company hs-company hs-fieldtype-text field hs-form-field"><label id="label-company-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Company"
for="company-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>Company</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="company-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" name="company" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization" value=""></div>
</div>
<div class="hs_jobtitle hs-jobtitle hs-fieldtype-text field hs-form-field"><label id="label-jobtitle-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Job Title"
for="jobtitle-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>Job Title</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="jobtitle-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" name="jobtitle" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization-title" value=""></div>
</div>
<div class="hs_country hs-country hs-fieldtype-select field hs-form-field"><label id="label-country-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Country"
for="country-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>Country</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><select id="country-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" required="" class="hs-input is-placeholder" name="country">
<option disabled="" value="">Please Select</option>
<option value=""></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Åland Islands">Åland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Asia/Pacific Region">Asia/Pacific Region</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Caribbean Netherlands">Caribbean Netherlands</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic Republic of the Congo">Democratic Republic of the Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia (FYROM)">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar (Burma)">Myanmar (Burma)</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine">Palestine</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn Islands">Pitcairn Islands</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Réunion">Réunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Korea">South Korea</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Others">Others</option>
</select></div>
</div>
<div class="hs_how_can_we_help_you hs-how_can_we_help_you hs-fieldtype-radio field hs-form-field"><label id="label-how_can_we_help_you-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your How can we help you ?"
for="how_can_we_help_you-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>How can we help you ?</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input">
<ul role="checkbox" class="inputs-list multi-container">
<li class="hs-form-radio" role="radio"><label for="how_can_we_help_you0-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-form-radio-display"><input id="how_can_we_help_you0-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-input"
type="radio" name="how_can_we_help_you" value="Person-to-Person Payments"><span>Person-to-Person Payments</span></label></li>
<li class="hs-form-radio" role="radio"><label for="how_can_we_help_you1-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-form-radio-display"><input id="how_can_we_help_you1-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-input"
type="radio" name="how_can_we_help_you" value="Business-to-Business Payments"><span>Business-to-Business Payments</span></label></li>
<li class="hs-form-radio" role="radio"><label for="how_can_we_help_you2-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-form-radio-display"><input id="how_can_we_help_you2-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-input"
type="radio" name="how_can_we_help_you" value="Request to Pay"><span>Request to Pay</span></label></li>
<li class="hs-form-radio" role="radio"><label for="how_can_we_help_you3-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-form-radio-display"><input id="how_can_we_help_you3-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-input"
type="radio" name="how_can_we_help_you" value="Issuance"><span>Issuance</span></label></li>
<li class="hs-form-radio" role="radio"><label for="how_can_we_help_you4-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-form-radio-display"><input id="how_can_we_help_you4-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-input"
type="radio" name="how_can_we_help_you" value="Collections & Acquiring"><span>Collections & Acquiring</span></label></li>
</ul>
</div>
</div>
<div class="hs_TICKET.subject hs-TICKET.subject hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-TICKET.subject-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Subject"
for="TICKET.subject-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>Subject</span></label>
<legend class="hs-field-desc" style="display: block;">What do you wish to know?</legend>
<div class="input"><input name="TICKET.subject" class="hs-input" type="hidden" value=""></div>
</div>
<div class="hs_TICKET.content hs-TICKET.content hs-fieldtype-textarea field hs-form-field"><label id="label-TICKET.content-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="" placeholder="Enter your Send us a note"
for="TICKET.content-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177"><span>Send us a note</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: block;">Details of your enquiry</legend>
<div class="input"><textarea id="TICKET.content-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-input hs-fieldtype-textarea" name="TICKET.content" required="" placeholder="Message"></textarea></div>
</div>
<div class="legal-consent-container">
<div class="hs-richtext">
<p>TerraPay is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to
contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:</p>
</div>
<div>
<div class="hs-dependent-field">
<div class="hs_LEGAL_CONSENT.subscription_type_8047858 hs-LEGAL_CONSENT.subscription_type_8047858 hs-fieldtype-booleancheckbox field hs-form-field">
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input">
<ul class="inputs-list" required="">
<li class="hs-form-booleancheckbox"><label for="LEGAL_CONSENT.subscription_type_8047858-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-form-booleancheckbox-display"><input
id="LEGAL_CONSENT.subscription_type_8047858-77b413c1-79cb-4b02-b6f5-f07b64304fea_2177" class="hs-input" type="checkbox" name="LEGAL_CONSENT.subscription_type_8047858" value="true"><span>I agree to receive other communications from
TerraPay.<span class="hs-form-required">*</span></span></label></li>
</ul>
</div>
</div>
</div>
<legend class="hs-field-desc checkbox-desc" style="display: none;"></legend>
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