Merchant Account Setup

Merchant Location Setup

Merchant Information Request (#10)

First Name

Last Name

Social Security Number

Owner Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Owner Email

Owner Phone

Please enter your bank account and routing information. This can be found at the bottom of a check.

Name on Account

Bank Account

Bank Routing

Upload Image of VOIDED Check

Choose File

Doing Business As (if Different)

Business Legal Name (Parent)

TAX ID

Business Email

Business Website

Business Phone

Location Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mailing Address (if different)

Address Line 1

Address Line 2

City

State

Zip Code

Country