You have made the smartest decision to switch and earn more money

Some Basics

Tell us a little about yourself and your business so we know how to better serve you.

Quick Support

Give us a call to talk to a specialist for a tailor made solution.

Multi-Channel Support

Accept credit cards, debit cards, Apple , Google Pay and e-checks with a single intuitive interface.

This form is secured and information is processed in a secured form

Business Information:

This is the legal information used to form your merchant account.

Legal Business Name *

Legal Address City, State Zip Code *

Please do not forget your City, State and Zip Code

DBA Name (if not applicable type, N/A)

DBA Address including City, State, Zip Code (if not applicable type, N/A)

Please do not forget your City, State and Zip Code

Phone Number *

Contact Email Address *

Contact Name *

Federal EIN # (9 Digits) *

Business Start Date (dd/mm/yyyy) *

Date you started the business

What does the business sell? *

Type of Entity Sole Proprietor, LLC or Corporation *

Sales Person (if any)

Owner/Officer Information:

This is anyone who owns more than 20% ownership of the company

Owner / Officer Full Name *

Home Address City, State Zip Code *

Please do not forget your City, State and Zip Code

Date of Birth (dd/mm/yyyy) *

SSN # *

Phone Number *

Banking Information:

This is where your funds will be deposited to.

Bank Name *

Routing Number(9 Digits) *

Account Number *

This is where your funds will be deposited into

Processing Information:

Average Individual Transaction Amount

Monthly Sales Volume Amount

Card Swiped Transaction %

Manually Keyed (card present) %

Manually Keyed (card not present and/or mail order) %

eCommerce (card not present) %

Business to Business %

Checkboxes

Check here if you require ACH processing

You have made the smartest decision to switch and earn more money

Some Basics

Quick Support

Multi-Channel Support

This form is secured and information is processed in a secured form

Business Information:

Owner/Officer Information:

Banking Information:

Processing Information:

Daily

Monthly:

Now, it’s your turn to let us know.

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