Apply

www.JsStatus.com .page-content { display: none; } noscript { color: #000; font-size: 15px; width: 100%; display: block; visibility: visible; padding: 20px; }

English

Español

Canadian

1 Business

2 Owners

3 Processing

4 Documents

Corporate Contact Information

Contact First Name *

Contact Last Name *

Contact Phone Number *

Contact Email *

Customer Service Number *

Customer Service Email *

Business Information

Corporate / Legal Name *

Ownership / Entity Type *

Legal Street Address *

City *

State *

ZIP *

Business Founded Date? *

Federal Tax ID / EIN *

DBA (Doing Business As) Information

Is your DBA (Doing Business As) information the same as Corporate/Legal? *

Yes

Primary Owner

Please list all owners who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise, own 25% or more of the equity interests of the legal entity listed in this application. Additionally, please ensure the owner(s) below equate to a combined ownership of at least 51%.

First Name *

Last Name *

Ownership Percentage *

Title *

Social Security Number *

Date of Birth *

ID Number *

ID State *

Expiration Date *

Address & Contact Information

Address *

City *

State *

ZIP *

Mobile Number *

Email *

Additional Owner

First Name *

Last Name *

Ownership Percentage *

Title *

Social Security Number *

Date of Birth *

ID Number *

ID State *

Expiration Date *

Address & Contact Information

Address *

City *

State *

ZIP *

Mobile Number *

Email *

Additional Owner

First Name *

Last Name *

Ownership Percentage *

Title *

Social Security Number *

Date of Birth *

ID Number *

ID State *

Expiration Date *

Address & Contact Information

Address *

City *

State *

ZIP *

Mobile Number *

Email *

Additional Owner

First Name *

Last Name *

Ownership Percentage *

Title *

Social Security Number *

Date of Birth *

ID Number *

ID State *

Expiration Date *

Address & Contact Information

Address *

City *

State *

ZIP *

Mobile Number *

Email *

We detected the ownership is below 51%. You can still continue with this application but please ensure all owners who, directly or indirectly, own 25% or more are listed. Additionally, the combined ownership should equate to 51% or higher.

We detected the combined ownership was above 100%. Please correct the ownership percentages.

Bank Account Information

Business bank account (information where funds are to be deposited)

Bank Name *

Bank Routing Number *

Bank Account Number *

Payment Information

We need a bit of information about your business and how it accepts credit/debit cards.

Does this business currently accept credit/debit cards? *

Yes

Monthly Volume *

Avg Transaction Amount *

Max Transaction Amount *

Briefly Describe Your Product/Service *

Intended Usage

In-person *

Mail/Phone *

Online *

Total *

Website Address

List essential details for account setup (e.g. pricing, equipment, software, POS system, terminals, gateway, batch times, etc.) *

Documents Upload

Main documents:

Voided Check/Bank Letter
Owner’s ID(s)
Last 3 Months' Bank Statement(s), if available
Last 3 Months' Processing Statement(s), if available

Drag & drop your documents or click here to browse for a document to upload.

Only .jpg, .png, .bmp, .pdf, .doc, .docx, .xls, .xlsx will be accepted.

All fields marked with * are required.

Todos los campos marcados con * son obligatorios.

Please complete all required fields on the following pages:

Por favor, complete todos los campos obligatorios en las siguientes páginas:

Meta title fix

Online Application

1

Business

2

Owners

3

Processing

4

Documents

Corporate Contact Information

Business Information

DBA (Doing Business As) Information

Primary Owner

Address & Contact Information

Additional Owner

Address & Contact Information

Additional Owner

Address & Contact Information

Additional Owner

Address & Contact Information

Bank Account Information

Payment Information

Intended Usage

Documents Upload

Main documents: