Merchant Service Application

Business Information

Is this a seasonal business?

Point of Contact
Owner Information

Percentage of ownership:

Tax Information
Bank Information
Sales Volume
Average Monthly Sales
Average Sale Amount
High Sale Amount
Processing Information
Refund Policy
Services Generally Provided In
Customer is Normally Charged
Method of card acceptance:
Mail Order
total must be 100 percent:
Products/services are normally delivered in:
0 to 7 Days
8 to 14 Days
15 to 30 Days
Over 30 Days
total must be 100 percent:

Are you interested in our QuickBooks integration?

Use this section to upload any required documentation:

If you discussed specific documentation with your agent that will be required for your account approval, here is where you can upload that information.
cloud_upload Drop files here or click to upload
(Files will not be uploaded until application is submitted

This is a preliminary application and you will soon receive your full application for review and eSignatures.

I understand that approval of a merchant account is subject to underwriting guidelines and credit approval as well as our terms and conditions.
It is a federal offense to knowingly provide false or misleading information on this application. Violators may be prosecuted.