Tell us about your business
Business Name (DBA)
work_outline
Legal Business Name
work
Business Description
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Business Start Date
calendar_today
Ownership Type
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Sole Proprietor
C-Corp Private
C-Corp Public
S-Corp Private
S-Corp Public
LLC Private
LLC Public
Not For Profit
Partnership Private
Partnership
Government Agency
Business Phone Number
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Email Address
email
Website
bookmarks
Average Ticket
payments
Monthly Volume
payments
Federal Tax ID
business
Stock Symbol
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Business Address (No P.O. Box)
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Suite
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City
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State
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Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Postal Code
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Settlement Account Information
All ISVs and merchants must use their primary business account for settlements.
Account Number
#
Routing Number
#
Account Type
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Corporate Checking
Corporate Savings
Owner Information
First Name
person
Last Name
person
Last 4 SSN
#
Date of Birth
Ownership Percentage
%
Title
Phone
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Street Address (No. P.O. Box)
home
Suite
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City
location_city
State
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Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Postal Code
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Owner Info #2
First Name
person
Last Name
person
Last 4 SSN
#
Date of Birth
Ownership Percentage
%
Title
Phone
stay_current_portrait
Street Address (No. P.O. Box)
home
Suite
more_horiz
City
location_city
State
list
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Postal Code
add_location_alt
Owner Info #3
First Name
person
Last Name
person
Last 4 SSN
#
Date of Birth
Ownership Percentage
%
Title
Phone
stay_current_portrait
Street Address (No. P.O. Box)
home
Suite
more_horiz
City
location_city
State
list
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Postal Code
add_location_alt
Owner Info #4
First Name
person
Last Name
person
Last 4 SSN
#
Date of Birth
Ownership Percentage
%
Title
Phone
stay_current_portrait
Street Address (No. P.O. Box)
home
Suite
more_horiz
City
location_city
State
list
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Postal Code
add_location_alt
Add Principal
Terms and Conditions
Payment Terms
ACH Terms
Card Rate
: 2.89
ACH Rate
: 1.00
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