Merchant Application

Legal Business Name *

Website

Business Address *

Home Mailing Address *

EIN/ ITIN/ SIN (or equivalent)

Business Phone *

Best Contact Email *

Entity Type *

What is website built on

1st Owner/Officer

Full Name *

Date of birth *

Percent of Ownership *

1st Owners Title *

1st Owners Social Security Number or Equivalent *

Home Address *

1st Owner Email *

1st Owner Phone *

Additional Owners (must own over 25%)?

Yes

2nd Owner/Officer

2nd Owners Name

2nd Owners Title

2nd Owners Percentage of Ownership

2nd Owners Birth Date

2nd Owners Address

2nd Owners Phone Number

2nd Owners Email

2nd Owners Social Security Number(or equivalent)

Additional Owners (must own over 25%)

Yes

3rd Owner/Officer

3rd Owners Name

3rd Owners Title

3rd Owners Percentage of Ownership

3rd Owners Email

3rd Owners Phone Number

3rd Owners Address

3rd Owners Social Security Number(or equivalent)

3rd Owners Birth Date

Business Information

Date Business Started *

Link to, or instructions to find your return policy *

Return Percentage *

Chargeback/ dispute Percentage *

When are Customers Cards Charged *

Product or service offered *

Do you obtain signature for purchase? *

Estimated Monthly Revenue *

Estimated Average Transaction Value *

Estimated Maximum Transaction Size *

Card Sale Method *

Link ANY Relevant Social Media Accounts

How to find processing statements.

Stripe Tutorial

Square Tutorial

Quickbooks Tutorial

Past processing statements

One month required, past three months preferred

Statements must show total card revenue, current fees, disputes and returns

*Select all documents in one action. Selecting one document at a time will cause an error and replace the previously selected documents. If this is a new business or doesn't have processing history, submit last 3 months personal bank statements of 1st owner.

Past business bank statements

One month required, past three months preferred

*Select all documents in one action. Selecting one document at a time will cause an error and replace the previously selected document

Each Owners Drivers License or legal ID

*Select all documents in one action. Selecting one document/image at a time will cause an error and replace the previously selected document/image.

Voided Check or Bank Letter

A voided check is simply a business check that has "VOID" written across it, rendering it useless for any transactions.

A bank letter is a issued by your bank confirming your account details and verifying account holder.

*To obtain a voided check or bank letter, you can simply contact your bank. They should be able to provide you with either of these documents, depending on your preference. In some cases, you may be able to access them through your online banking account, so it's worth checking there first.

EIN Letter (or equivalent)

Your document needs to include the legal business name, exactly as it appears on your registration documents. Business address as registered. Indicate the type of business entity you operate, such as LLC, corporation, sole proprietorship, or partnership. Specify the date your business was established and the date the document was issued.

Fulfillment Agreements

(if applicable)

Examples include but are not limited to, service agreement, 3PL agreement, shipping agreement, SAAS deliverables, agency deliverables, supply chain fulfillment agreements etc.

*A fulfillment agreement is a legally binding contracts between parties, wherein one party agrees to fulfill specific obligations or services for the other party. Select all documents in one action. Selecting one document at a time will cause an error and replace the previously selected document.

Were you referred?

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