Merchant Application

Complete the form below to apply for merchant services.

Business Information

Legal Name *

DBA Name *

Tax ID (EIN) *

DBA Phone Number *

Legal Entity Type *

Website URL

DBA Address

Address Line 1 *

Address Line 2

City *

State *

ZIP *

Legal Address

Address Line 1 *

Address Line 2

City *

State *

ZIP *

Principal Information

At least one principal is required. Add all principals with 25% or greater equity.

Principal 1

First Name *

Last Name *

Email *

Equity % *

Phone

Position

Address

Address Line 1

Address Line 2

City

State

ZIP

SSN

Date of Birth

ID Type

ID Number

ID Issue State

ID Issue Date

ID Expiry Date

Government ID Upload *

Upload government-issued ID

Document Uploads

Upload required documents. Government IDs should be uploaded in each principal's section above.

Required Documents

Voided Check or Bank Letter *

Upload voided check or signed bank letter

Optional Documents

Processing Statements (2 most recent months)

Upload processing statements if currently processing

Bank Statements (2 most recent months)

Upload bank statements if high volume

IRS Letter (Tax ID Designation)

Upload IRS letter if requested

Business License

Upload business license if requested

Articles of Incorporation

Upload articles of incorporation if requested