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Online Payments, eCommerce, Digital Advertising ,Shopping Carts, Point of Sale, POS, CRM , Gaming, CBD, WooCommerce
eDataPay online payment gateway, Banking and Media Advertising
Merchant Application
Owner Title
Select
CEO
Manager
Owner
Partner
President
Vice President
Owner Equity Percentage
First Name
*
Last Name
*
Home Address
Suite/Apartment
City
State
Zip Code
Cell Telephone Number
*
Date of Birth
Date Format: MM slash DD slash YYYY
SSN/Passport #
Business Name / DBA / Descriptor
Corporate / Legal Business Name
Business Type
Select
Association/Estate/Trust
Corporation
Government
International Organization
LLC
Medical/Legal Corporation
Non-Profit
Partnership
Sole Proprietor
Tax Exempt Organization
LTD
Fed Tax ID
Merchandise/Services Sold
High Ticket Amount
Average Ticket Amount
Average Monthly Volume
Business Telephone Number
Business Fax 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)
(Optional)
Cash Discount (4% billed to customer) (0 processing fees for merchant)
Flat Rates (Example 3.85% Flat Rate)
Interchange Plus (Recommended)(.50% plus 8 cents per transaction)
Tired Pricing (1.69% plus 18 cents per transaction)
International Banking Rates
Line of Credit, Loan and financing
Consumers Product Financing
Where should we send your money?
Routing Number
Account Number
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