Corporate Onboarding Agreement

Please complete the following agreement

Part 1 - Company Information

Company Complete Legal Name

DBA / Trade Name (if applicable)

Street Address

City

Region/State/Province

Postal / Zip code

Business Phone Number

Email Address 1 for Confirmations

Email Address 2

If Public, Stock Symbol

State of Formation

Business Registration #

Tax ID/EIN

Client Primary Activities (please be specific)

Website URL

Part 2 - Ownership

Beneficial Owners: Each individual who directly or indirectly owns or controls 25% or more of the Client. Supporting documentation demonstrating beneficial ownership may be requested.

Owned by a publicly traded entity?

Yes

Stock Symbol

Does any individual own 25% or more?

Yes

Beneficial Owner 1

Full Legal Name

SSN #

Nationality / Citizenship

Ownership Percentage (%)

Complete Residential Address (Street, City/Town, State, Country, and Zip Code

Beneficial Owner 2

Full Legal Name

SSN #

Nationality / Citizenship

Ownership Percentage (%)

Complete Residential Address (Street, City/Town, State, Country, and Zip Code

Beneficial Owner 3

Full Legal Name

SSN #

Nationality / Citizenship

Ownership Percentage (%)

Complete Residential Address (Street, City/Town, State, Country, and Zip Code

Beneficial Owner 4

Full Legal Name

SSN #

Nationality / Citizenship

Ownership Percentage (%)

Complete Residential Address (Street, City/Town, State, Country, and Zip Code

Part 3 - Directors / Appointed Officers

Each individual with significant responsibility to control, manage or direct the Client's business and affairs: including any board of director members, senior office holders such as CEO or president, chairpersons, partners, etc.

Full Legal Name

Occupation

Title

Full Legal Name

Occupation

Title

Full Legal Name

Occupation

Title

Full Legal Name

Occupation

Title

Full Legal Name

Occupation

Title

Full Legal Name

Occupation

Title

Part 4 - Foreign Exchange and Payment Needs

Currencies Needed

Countries where transfers are expected to go to

Countries where transfers are expected to come from

Part 5 - Authorizations and Certifications

The Client:

All statements in this Agreement, and any other information and documentation submitted in support of this Agreement, are true and correct.

I consent to the Privacy Notice at https://www.corpay.com/privacy-policy. Privacy Policy

The individual(s) signing this application have the authority to bind the Client to the terms of this Agreement (supporting documentation may be requested)

Client has read, understood, and hereby accepts the account terms and conditions at https://cross-border.corpay.com/tc/.Account Terms and Conditions

Company Complete Legal Name

Date Signed

Print Signer 1's Full Legal Name

Date of Birth

Job Title

Signature of Signer 1

Complete Residential Address (Street, City/Town, State, Country, and Zip Code

Print Signer 2's Full Legal Name

Date of Birth

Job Title

Signature of Signer 2

Complete Residential Address (Street, City/Town, State, Country, and Zip Code

Corporate Onboarding Agreement

Part 1 - Company Information

Part 2 - Ownership

Beneficial Owners: Each individual who directly or indirectly owns or controls 25% or more of the Client. Supporting documentation demonstrating beneficial ownership may be requested.

Beneficial Owner 1

Beneficial Owner 2

Beneficial Owner 3

Beneficial Owner 4

Part 3 - Directors / Appointed Officers

Each individual with significant responsibility to control, manage or direct the Client's business and affairs: including any board of director members, senior office holders such as CEO or president, chairpersons, partners, etc.

Part 4 - Foreign Exchange and Payment Needs

Part 5 - Authorizations and Certifications

The Client:

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