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PQBC - Request access to test the Payconiq by Bancontact EXT app

Before we can grant you access to the EXTERNAL version of the Payconiq by Bancontact app, we kindly ask you to complete the form below.

What is your first name?

What is your last name?

What is your work email address?

What company do you work for?

On what platform(s) do you wish to test?

On what platform(s) do you wish to test?