Upload DocumentsUse this form to securely submit documents for your merchant account Business InformationName of Person Filling Out This Form*(doesn't have to be the owner) First Last Owner Name* First Last My Business has only 1 owner*YesNoOwner 2 Name* First Last DBA Name*Doing Business AsIndustry*Choose your industry3D Printers Specifically Designed to Create FirearmsAccounting and BookeepingAdoption AgenciesAdult Content / Hentai / Memberships / Webcams / Phone SexAdult Products (Sex Toys)Advertising For Real EstateAirlinesAlcohol (Internet Wholesale)AmmunitionAnonymity / IP Address Masking ServicesAsset Protection / Venture CapitalAudiotextAuto DetailingAuto Rental AgenciesAuto Roadside AssistanceAuto TransportAutoparts OnlineBackground ChecksBail Bond ServicesBankruptcy Lawyer / FirmBartering ServicesBinary Options Trading & ForexBitcoinBitcoin ATMBus LinesBusiness Consulting (Financial)Business OpportunityCannabis SeedsCar Service / LimoCash GiftingCasinoGambling or Gaming EstablishmentsCBD ProductsChain LettersCharitiesCheck Cashing ServicesCircumvention Devices (Black Boxes)Coins / Collectibles / Gold / Precious MetalsCollection Agencies / Debt CollectionComputer Bulletin BoardContinuity Billing – Ingestible Products (No Trial Offers)Continuity Billing – Ingestible Products (With Trial Offer)Continuity Billing – Topical (Skin) Products (No Trial Offers)Continuity Billing – Topical (Skin) Products (With Trial Offer)Coupon / Gift CertificatesCredit Card Protection ServicesCredit Cards (Pre-Paid or Not Pre-Paid)Credit EducationCredit RepairCredit Report MonitoringCRM (Contact Relationship Manager)CrowdfundingCrypto / Virtual Currencies / BitcoinCurrency ExchangeCyber LockersDebt CollectionDebt ConsolidationDebt CounselingDecryption ProductsDetective ServicesDiscount LegalDiscount Shopping / Coupon Membership ClubDistressed Property Sales & MarketingDominatrixDoor to Door SalesDrug ParaphernaliaE-Wallet LoansElectronic Cigarettes / E-CigsEmbassies / Consulates / Foreign GovernmentsEmployment AgenciesEphedraEscort AdvertisingEscort ServiceESTA / Immigration / Visa Passport ServicesExtended Warranty (Car / Auto)Extended Warranty Programs (Non-Auto)Fantasy / Nude ArtFantasy SportsFile SharingFinancial ConsultantsFinancial InstitutionsFirearmsFireworks and ExplosivesForeclosure ProtectionFortune TellersFreight ForwardersFufillment HousesFulfillment MerchantsFurnitureGentlemen’s and Strip ClubsGovernment Grants / Financial AidHair Restoration ServicesHCG Weight LossHemp ProductsHigh Ticket CoachingHome Buying AssistanceHoverboardsHuman Growth Hormones (HGH)ID Theft ProtectionIn Home Computer Hardware / Software Sales or ServiceIncorporation ServiceInfomercial MerchantsInsurance BrokersInternet / Mail-Order GamblingInternet / Mail-Order Handbags or WatchesInternet Pawn ShopInvestment AdviceIT Services / Tech SupportJail Breaker Equipment / SoftwareJamming Devices (Cell Phone Services)K2KratomSpiceGenieKronicSalvia Divinorumor IncenseLead GenerationLegal Services OnlineLimo ServicesLive AnimalsLive Video Chat (Adult)Loan BrokerLoan Modification / Mortgage Brokers / Reduction Services / RefinancingLoan RepaymentLong Distance ServicesLotteryMagazine SubscriptionsMagic SuppliesMale Enhancement (One-Time Billing)Male Enhancement (Trial / Continuity)Manga AnimationMassage (Home Based)Massage ParlorMatch Making ServiceMedical ConsultationMedical Discount Plans / Insurance SubstitutesMedical or Dental DevicesMLM (Multi Level Marketing)Mobile AppsMobile RepeatersModification ChipsMoney Service BusinessNon-Financial Institutions: Foreign CurrencyMoney OrdersScriptTraveler’s ChecksNootropicsNutraceutical / Health & Beauty (Straight Sale)Nutraceutical / Ingestible (Straight Sale)Online AuctionsOnline Computer SalesOnline Dating / Matchmaking ServiceOnline Incorporation ServicesOnline Legal CertificatesOnline MarketplaceOnline PharmacyOnline SneakersOnline Tobacco / CigarettesOnline Wheel SalesOtherP2P PaymentsPari-Mutuel BettingPassenger RailwaysPayday / Installment LoansPayment FacilitatorsPenny AuctionsPeptidesPre-Paid Legal Advice / Product Authentication ServicesPre-Paid Phone CardsProcurement ServiceProduct Authentication ServicesPromotional MaterialPsychic (Mail Order Telephone Order or E-Com)Pyrotechnic DevicesRadioactive MaterialReplicasReputation ManagementResearch ChemicalsScholarship ProgramsSearch Engine Optimiztion (SEO)Self Help BooksSeminars (Mail Order Telephone Order or E-Com)Shipping ServicesSkincare / Nutra (Straight Sale)Software Downloads (Music / Movies)Sports CardsSports ForecastingSpread BettingStock Trading TipsStop Smoking AidsStripper ServiceStudent Loan Consolidation Document PreparationSwingers Club / DoggingTalent AgenciesTax Relief or Fine Reduction AssistanceTech SupportTeeth Whitening Products (Continuity / Subscription)Teeth Whitening Products (One-Time Purchase)TelemedicineTelephony Services (VOIP)Tenant Screening ServicesThird Party Timeshare AgentsTicket Brokers (Fulfillment Over 90 Days)Ticket SalesTravel (Including Airfare)Travel AgencyTravel CertificatesTravel Hotel BookingsTravel Member ClubTravel MLMTravel Packages (Without Airfare)Travel: Cruise LinesTravel: Timeshare AdvertisingTravel: Timeshare Contract NegotiatorsVIAGRA OnlineVideo On DemandVPN ServicesWater PurifiersWeaponsWeb DesignWeb HostingWebsites / Applications With Cash PrizesWeight Loss Centers (Non-Physician Based)Wheel ClampersWholesale Mobile Phone SalesWire Transfer / Quasi CashWhat is your industry?*10MB size limit per file. Accepted file formats include: pdf, jpg, jpeg, doc, docx, gif, png, csv, xls, xlsxArticles of IncorporationA set of formal documents filed with a government body that establish the existence of your corporation in the US, and are filed with the Secretary of State.Upload Articles File uploadVoided CheckTemporary checks will not be accepted by the processing bank. The processing bank needs to see the business name, address, routing, and account numbers on the check for it to be acceptable.If you don’t have business bank checks, ask your business’ bank to provide you with a letter, on bank letterhead, with ALL of the following:Name of Your BusinessBusiness’ Bank Account NumberBusiness’ Routing NumberThe statement: “This business’ account is in good standing”The banker’s contact informationThe banker’s signatureVoided Business Check (Or Bank Letter) File uploadDrivers License or PassportID must be for the listed owner of the business. This same owner will sign the merchant account application. Front Only, pleaseA color copy of Your Driver’s License or Passport (Front Only) File uploadDrivers License or Passport - Owner 2ID must be for the listed owner of the business. This same owner will sign the merchant account application. Front Only, pleaseA color copy of Your Driver’s License or Passport (Front Only) File uploadBank Statements3 Most Recent Months of Previous Business Bank Statements (or personal bank statements if a new business) Must be downloaded or scanned copies of the full monthly statement, not merely screenshots. These are available through your business bank’s online login and are also usually sent from your bank by mail each month. For new businesses please provide the last 3 months of personal bank statements for the signer / owner of the corporation.Bank Statement 1Statement TypeChoose oneBusinessPersonalMonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Bank Statement File uploadBank Statement 2Statement TypeChoose oneBusinessPersonalMonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Bank Statement File uploadBank Statement 3Statement TypeChoose oneBusinessPersonalMonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Bank Statement File uploadBank Statement 4 (If Applicable)Statement TypeChoose oneBusinessPersonalMonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Bank Statement File uploadBank Statement 5 (If Applicable)Statement TypeChoose oneBusinessPersonalMonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Bank Statement File uploadProcessing Statements (If Applicable)3 Most Recent Months Previous Credit Card or ACH Processing Statements (if available)Must be downloaded or scanned copies of the full monthly statement, not merely screenshots. These are available through your previous/current merchant account provider’s online login, or by calling your old credit card processor. For new businesses, or if you haven’t accepted credit cards in the past, omit this requirement. If, however, your bank statements indicate you’ve accepted credit cards in the past, you cannot be approved without providing those documents.Processing Statement 1 (If Available)MonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Processing Statement File uploadProcessing Statement 2 (If Available)MonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Processing Statement File uploadProcessing Statement 3 (If Available)MonthChoose oneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearChoose one20202019Processing Statement File uploadFulfillment Agreement (If Available)A fulfillment agreement is a legal contract between a manufacturer and a product distribution company that defines that nature of the relationship, the fees, and numerous other details.Fulfillment Agreement Upload File uploadEIN ConfirmationYou receive an EIN Confirmation Letter once you have completed the Employer Identification Number (EIN) application on the IRS website. Learn more hereEIN Confirmation Upload File uploadOperating Agreement (If Available)An operating agreement is a special type of business contract that describes the operations of a limited liability company (LLC), setting forth the agreements between the members of the LLC (the owners). An operating agreement can be compared to the by-laws of a corporationOperating Agreement Upload File uploadUtility BillShowing proof of your entity's address by providing a bill preferably, Gas, Electric, and/or water/Utility Bill Upload File uploadProof of Website RegistrationIf Domain Registration Info is PublicScreenshot of your registration profile is sufficient or copy of WhoIs information if no URL privacy is on. If Domain Registration Info is PrivateYou will need to provide proof of your registrant information. A screenshot of your GoDaddy or other Registration will suffice. You may have to prove ownership of it to a third party such as a bank or other institution.Website Registration Upload File uploadCertificate of Analysis (COA) / Lab ResultsA Certificate of Analysis is a document issued by Quality Assurance that confirms that a regulated product meets its product specification. They commonly contain the actual results obtained from testing performed as part of quality control of an individual batch of a product.Note: the bank requires a complete and current product list for all CBD and Non-CBD products being sold on your site. Please upload a COA for each CBD product you sell. The COA files must include the name of the product as it's listed on your website and in your product list.Example: Product List shows “50Mg CBD Cream - Berry Scented”, the COA should be named “50Mg CBD Cream – Berry Scented COA”. If the product has changed or other ingredients have been added to make a cream or salve, as an example, we need the finalized product COA test. If your business is only re-package a product you purchase from a manufacturer, such as a tincture of pure CBD without any additives, the original COA will suffice but keep in mind that the file name should match the name of the product on your site and on the product list.If you have more than 4 CBD products for sale on your site, you can email your COAs (properly named) to email@example.com.Product 1As listed on your website and product listProduct 1 Upload File uploadProduct 2As listed on your website and product listProduct 2 Upload File uploadProduct 3As listed on your website and product listProduct 3 Upload File uploadProduct 4As listed on your website and product listProduct 4 Upload File uploadState issued Business License or Tax PermitThis license is not specific to CBD; please provide a standard business license issued by your state to operate a business in that state.License/Permit Upload File uploadProduct ListA complete (CURRENT) product list for all CBD and Non-CBD products listed on your site. Underwriters will verify every product being sold on the website to match it against the product list supplied. Excel format is acceptable. Download Excel TemplateProduct List Upload File uploadDBA Business FilingState and local governments usually require companies to register any alternate names under which they do business. Called a Doing Business As (DBA) filing, this action allows your company to legally operate under a trade name, also known as an "assumed" or "fictitious" name.DBA Business Filing Upload File uploadCall Center Agreement (If Available)Agreement for Outsourcing Call Center SupportCall Center Agreement Upload File uploadAd Network Agreement (If Available)Agreement for a 3rd party provider of an advertising network to manages the placement of advertisements made available on websites and/or software applications.Ad Network Upload File uploadCRM Agreement (If Available)For customer-centric organizations, customer relationship management (CRM) software is a high-stakes investment. They rely on their CRM to store and analyze data and to make the most out of new and longstanding relationships.CRM Agreement Upload File uploadPhoneThis field is for validation purposes and should be left unchanged.