merchant application form | Fast Deposits — Integrate Visa, Mastercard, NMI, Shopify, Authorize.net, QuickBooks® and more With Your eCommerce Business to Accept Payments on Your Website. Simple Setup, Seamless Integration, And Secure Transactions. Make It Easy to Get Paid. Next-Day Deposits. Easy To Integrate. No Upfront Costs. Fast & Easy Setup.

Merchant Application

Owner Title
Owner Equity Percentage
First Name*
Last Name*
Home Address
Suite/Apartment
City
State
Zip Code
Country
Cell Telephone Number*
Personal Email Address
Date of Birth
Date Format: MM slash DD slash YYYY
SSN/Passport #
Business Name / DBA / Descriptor
Corporate / Legal Business Name
Business Type
Fed Tax ID / INTL Company #
Merchandise/Services Sold
High Ticket Amount
Average Ticket Amount
Average Monthly Volume
Business Telephone Number
Business CS Number
Business Website Address
Business Email Address*
Business Address
Suite/Apartment
City
State
Zip Code
Select Your Rates, Fees & Structure you are looking for (Call us at 888-395-9554 if you need assistance with rates)
Date Business Established
Date Format: MM slash DD slash YYYY
Where should we send your money?
Routing Number
Account Number
Comments
Referred by
Comments