Onboarding-step 1 Business Name First name Last name Street Address Street Address 2 City State ZIp Business Phone Number Merchant Info Business DBA Legal/Corporate Name First name Last name Street Address Street Address 2 City State ZIp Email Address DBA Phone Number DBA Fax Number (Optional) Mobile Phone Year Established Length of Current ownership Years Months Mailing address same as above Mailing address same as above Principal Information (Owner/partner/officer) Select role Select role Percentage of ownership First name Last name Home Address Street Address Street Address 2 City State ZIp SSN DOB / MM/DD/YY Home Number Other merchant information Average Sale Amount Total Monthly VISA/MC/Disc/Union Pay/AMEX Sales Description of products/services offered 0/60 characters max What percentage of your sales are... Enter values between 0-100 (Total of all three must equal 100) Card Present Card Not Present Internet Customer Service Number (optional) Previous processor (optional) Bank Account (Checking account only) Deposit bank name ABA/Routing # DBA Account # Tape ID Card Acceptance Pricing Category Submit
