Checkout.com issuing split inquiry form

Checkout.com issuing split inquiry form, minimal, corporate-clean, dark

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Split contact section with dark left panel CEO testimonial on Issuing and light right multi-section inquiry form with international fields and Send inquiry CTA.

Summary

Lead capture split layout with dark testimonial panel from ACE CEO on Issuing left and structured inquiry form with four labeled sections right.

Visual description

Two-column block. Left dark charcoal: all-caps headline BOOST YOUR BUSINESS SUCCESS TODAY and gray rounded quote card from Rashid Ashraf CEO of ACE on Checkout.com Issuing partnership. Right light gray: form sections Tell us about yourself (name, job), How can we reach you (email, +62 phone with flag), business location and size (company, Indonesia flag selector, volume dropdown), Tell us more (product interest, referral source). Marketing checkbox, partner disclaimer, blue Send inquiry button, privacy policy link.

Key takeaway

CEO quote on dark panel adds credibility beside a long form without cluttering fields. Flag icons in phone and country fields signal global product scope inline.

Reuse notes

Enterprise B2B inquiry pattern for fintech sales pages. Form is long; consider progressive steps for higher conversion elsewhere.

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