Legal Business Name
Business Email Address
Phone number to discuss this application
Phone number to be listed on receipts
Use the 3 fields below to estimate the percentage of your business' credit card sales by payment type. Total must equal 100%.
eCommerce = Customer types their credit card details into your website's checkout page.
Phone = Employee types the customer's credit card details in after customer provides them over phone.
Retail = Customer provides you their physical credit card, in person, at the time of checkout.
Non-binding estimate of total monthly sales.
Non-binding estimate of a small typical sale size for your business.
Non-binding estimate of your average typical sale size for your business.
Non-binding estimate of a large typical sale size for your business.
"Doing Business As" Name to be listed on customer receipts.
Enter the state your business was incorporated in. If Non-US entity, select "Outside the US".
Non-US Addresses: Select "OUTSIDE US" in STATE field.
Select "Yes" if your business address is a PO Box or mailbox address.
You may use a virtual office for the business' mailing address, however, if an onsite inspection is requested by underwriting they will need the actual business' operating address (Note: listing a home address for home based businesses is permissible).
For non-US applicants, enter "000-00-0000"
For non-US applicants, enter "0000"
If you are an existing business, submit your 3 most recent business bank monthly statements. For new businesses, submit the owner's 3 most recent personal bank statements.
If you've previously accepted credit cards, please submit your most recent 3 monthly statements from your previous credit card processor.