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In some countries there are other popular payment methods - giro, etc. - for those you'd almost definitely have to make local arrangements.
We have a branch office in another country (legal registered entity, local bank accounts (in the local currency as well as dollar accounts), pay taxes, etc.). But we do a substantial amount of work with companies there and it makes sense for us to do things that way.
Depending on the arrangement they may take responsibility for shipping and receiving the funds on behalf of their clients or paying the merchant by placing a domestic order. Goods in turn are shipped to the intermediary and from there to the client.
I am thinking they need to have their accounts set up there as well i.e. hosting, registrar, merchant account, banking, etc.
Really depends how the business operates as mentioned above.
This is my first client in The Republic of Panama and I will be building his website.
It is a possibility I might be getting other clients from there as well.
If he can host in the US great! Then I can recommend him my host.
Thereafter we need to set up a card system with a company that will allow him to send me the funds. He cannot send money via Paypal. Only receive.