Sign Up For a Merchant Account

We can only work with Merchants Incorporated in US, Canada, Mexico, Australia, New Zealand, Switzerland, and the European Union.

"*" indicates required fields

1Create Account

2Business Information

3Business Ownership

4Credit Card Processing

5Business Background

6Marketing & Fulfillment

Your Information

Name of Person Filling Out This Form*

(doesn't have to be the owner)

First Last

Email Address*

Will become your username

Mobile Phone #*

Business Registration

Legal Business Name*

Listed on Tax Return

DBA Name*

Doing Business As

Federal Tax ID #

Numbers only - no dashes or letters.

Business Entity Type*

Business Start Date

Date your business was incorporated (as listed on your Articles of Incorporation.)

Business Address

We can only work with Merchants Incorporated in US, Canada, Mexico, Australia, New Zealand, Switzerland, and the European Union.

Legal Business Address

We are unable to work with Merchants incorporated in India

Street Address City State / Province / Region ZIP / Postal Code Country

DBA Address

Same as Legal Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

State of Incorporation

Business Contact Information

Business Contact Email

Location Fax

Website*

Please enter N/A if you don't have one

Time Zone

Business Details

Number of Employees

Please enter a number from 0 to 9999.

Number of Locations

Please enter a number from 0 to 9999.

Billing Descriptor

Preferred Billing Descriptor

This is how your business will appear on your customers' credit card statements. The first 13 characters (along with your customer service #) will appear on your customers’ credit card statement i.e. “McDonaldsRest8005551234”

Detailed Description of what you're selling:*

Please write brief paragraph with details about what you are selling

Site Survey

Do you own or rent your business location?

Landlord's Name

Landlord's Phone Number

What type of building are you located in?

What type of zone is your location in?

Square Footage of Location

Owner Information

Owner Name

First Last

Title

Date of Birth

Mobile Phone Number

You will receive SMS notifications and phone calls regarding your application

SSN

Please enter your Social Security Number

Ownership Percentage

Please enter a number from 0 to 100.

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Do you own or rent?

How many years have you owned the business?

How many months have you owned the business?

Drivers License State

Drivers License Number

Passport Country

Passport #

My Business has only 1 owner

Yes

2nd Owner's Information

Owner 2 Name

First Last

Title

Date of Birth

Mobile Phone Number

You will receive SMS notifications and phone calls regarding your application

SSN

Please enter your Social Security Number

Ownership Percentage

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Do you own or rent?

Drivers License State

Drivers License Number

Passport Country

Passport #

Merchant's Banking Information

Information regarding your business bank account. Once approved, your merchant bank will settle the funds collected from your customers from your merchant account into your business bank account.

Bank located in US?

Yes

Is your bank account based in the US?

Name of Bank Contact Person

Enter the name of a bank employee who can be contacted with questions about your bank account.

Bank Contact Phone #

The phone number for the branch or bank employee who helps you with your bank account.

Bank Name

Enter the name of the bank where your funds will be deposited into.

Bank Account Type

Bank Account Number

Enter your bank account number

Routing Number / Transit ABA

Enter your routing number here.

SWIFT Code

Credit Card Processing

Do you currently accept credit cards?

Underwriters will check your bank statements for deposits from credit card processors. If you have deposits from credit card processors you will need to provide 3 months processing history.

Yes

Would you like to accept American Express?

Yes

Current processor(s) or where you’ve already applied

List all credit card processors you're currently using or have applied to already.

Previous Processor(s)

List all credit card processors with whom you've processed payments with before but are not currently processing with.

Sign Up For a Merchant Account

Your Information

Company Information

Business Registration

Business Address

Business Contact Information

Business Details

Billing Descriptor

Site Survey

Owner Information

2nd Owner's Information

Merchant's Banking Information

Credit Card Processing

Other Questions

Processing Information

Sales Type Breakdown

B2B & B2C Sales

Marketing

Fulfillment

Customer Service

High Risk Services

High Risk Industries

Company

Customer Support