Only use this form if the merchant has a physical store. For online shops, please fill the directory proposal form.

General informations

Adresse

Specify the latitude if you know it

Specify the longitude if you know it

Public email visible to everyone

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Accepted coins

Check if the merchant requires identity verification to be payed

Means of contact

Other means of contact

Additional information

Please provide a private or anonymous email address if you would like to be notified when this merchant is added. Your email address will not be used for any purpose other than this.