MEMBERSHIP APPLICATION

Dear Merchants,

Please supply the information to the form shown below. WebShop allows you to define the graphics your Customers will see, whenever they use WebShop through your Application. After processing the form, Egnatia Bank would be able to automatically identify your Application's users (and you) and automatically adjust the page according to your preferences. If you decide your Application be available to more than one languages, you should complete and send a form for each language. Filling E-mail field is mandatory. If you supply a valid address, you will receive an informative message from Egnatia. You can use the "Check" buttons at URL fields, to validate URLs you give.

MERCHANT NAME Company Name

E-MAIL If valid, you will receive an informative message from Egnatia Bank

STREET

NUMBER

CITY

ZIP Post Office Code

TELEPHONE

FAX

LANGUAGE Your LOGOs in a certain language

Greek English German French

TITLE Browser's title

TOP Main LOGO URL at your site

BOTTOM Secondary LOGO URL at your site

SCRIPT URL URL of the script (at your site) which will send the data to Egnatia Bank. You can have a different SCRIPT URL for each language.

BACKGROUND IMAGE URL of the graphic (at your site) to be used as background. If you define a background image here, then ignore BACKGROUND COLOR field shown below.

HOMEPAGE Your site URL, as going to be registered in Egnatia Bank's Mall.

BACKGROUND COLOR If you define a background color here, then ignore BACKGROUND IMAGE field shown above.

white red green blue yellow cyan magenta black gray