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First Name

Last Name

Legal Business Name

Doining Business As(Name)

Email Address

Phone Number

Customer Service Number

Application Type

Credit Card E-Check Processing

Industry Type

Primary Method of Accepting Credit Cards

Expected Monthly Volume

Avg. Transaction Size

Max. Transaction Size

Has Your Company Had An Active Merchant Account In The Last 90 Days?

Yes No

Current or Recent Merchant Account Provider

Business Website

Date Business Opened

Entity Type

LLC C Crop Sole Proprietor

Entity State

Bank Name

Bank Routing Number

Bank Account Number

Office Address

City

State

Zip Code

Office Sq. Footage

Home Address

City

State

Zip Code

Owner's Personal Phone Number

Date of Birth

Driver's License Number

Driver's License Expiration Date

Owner's Social Security Number

Approximate % Owned By Listed Owner

3 Months of Bank Statements

Picture of Driving license (front)

Picture of Driving license (back)

Picture of holding Driving License

EIN Letter

Letter of Incorporation

03 months of processing statements

Voided cheque or Bank letter

Save smart, Earn more.

Contact Us

Talk with Sales

Contact Customer Support

Protect your business.
Accept more payments. Stop chargebacks Save your stripe accounts

Reach Out to us

Save smart, Earn more.

Contact Us

Talk with Sales

Contact Customer Support

Protect your business. Accept more payments. Stop chargebacks Save your stripe accounts

Reach Out to us

Protect your business.
Accept more payments. Stop chargebacks Save your stripe accounts