In order for your application to be accepted and viewed by our underwriting team, ALL pertinent business and product information must be completed in FULL and all fields filled out to the best of your ability. Missing documents and/or information WILL cause delays in the processing or your application.

Merchant Application

Payment Methods

Requested Payment Methods

Please select the payment method(s) you are applying for.

(An ACH payment is an electronic payment that is created when a customer gives an originating institution authorization to debit directly from the customer's checking or saving account for the purpose of making a payment.)

(This are payment cards issued to users to enable them to pay a merchant for goods and services where the cardholder has made a promise to the card issuer to pay them for the amounts plus any agreed upon charges.)

(Pay for online purchases using an online voucher.)

(A transfer of funds from a users bank account to pay a merchant for goods and services.)

Corporate Information

Corporate Information

Business Address

Mailing Address

Licensing Details

Contact Information

Primary Contact Person

Primary (Login) Email Address

Tech Support Contact

Customer Service Contact

Accounting Contact Details

Owner(s) Information

Owner(s) Information

Owner Details

Website(s) Information

Website(s) Information


Business Profile

Business Profile

Transaction Distribution Percentage




Previous Processing

Settlement Information

Settlement Information

Bank Account Holder Information

Bank Information

Required Documents

Required Documents