Merchant Application
Complete this application to apply for credit card processing services
Business Information
Legal Business Name *
DBA (Doing Business As)
Business Structure *
LLC
Corporation
Sole Proprietor
Partnership
Industry Type *
Retail
Restaurant / Food Service
Grocery
Hardware / Home Improvement
Clothing / Apparel
Electronics
Beauty / Salon
Automotive
Sports / Recreation
Books / Media
Pharmacy / Health
Jewelry
Home Goods
Other
Year Established *
Business Type
Business Email *
Website (optional)
Business Address *
City *
State *
ZIP Code *
Owner Information
Full Name *
Title *
Phone *
Email *
Processing Information
Estimated Monthly Volume *
Average Ticket Size *
Highest Ticket Size *
Monthly Transaction Count *
Terms & Agreements
I agree to the
Terms of Service
and
Privacy Policy
. I certify that all information provided is accurate and complete.
Submit Application
