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Solutions
For Early Stage Startups
For Growth Startups
For Entrepreneurs
Integrations
QuickBooks
QuickBooks Online
FreshBooks
Xero
Payment Gateways
Stripe
PayTrace
USAePay
Payroc iTransact
Fluid Pay
Authorize.net
NMI
Heartland Portico
PayPal
CyberSource
TSYS TransIT
CRM Software
Shopping Carts
Login
Sign up
Online Payments Setup
Step 1 of 6
16%
Name
*
First
Last
Email
*
Title
Business Information
Legal Business Name
*
Exactly how it appears on your business filings.
DBA
Years in Business
*
Select Type of Ownership
LLC/Corporation
Partnership
Sole Proprietership
Non-Profit
Tax ID
Business Address
Primary Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Is the Physical Address Different from Business Address?
No
Yes
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Signer Information
Name
*
First
Last
Is Signer an Owner?
*
Yes
No
Ownership Percentage
*
Residential Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Social Security Number
Ownership Info
Owner Name
*
First
Last
Ownership Percentage
*
Residential Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Social Security Number
Processing Information
Description of Product/Services Sold
*
Average Ticket Size
*
Average Monthly Volume
*
Upload Statements
If you process over $500k/mo, please upload the last 3 months of processing statements.
Drop files here or
Accepted file types: pdf.
Refund Policy Visible on Your Website
Yes
No
Do You Sell Internationally?
No
Yes
Bank Deposit Information
Bank Name
*
Routing Number
*
Account Number
*
Confirm Account Number
*
Account Type
Checking
Savings
Terms of Service
*
I agree to the Terms of Service
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