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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 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 State ZIP Code
Email*
Phone*
Social Security Number
Ownership Info
Owner Name*
First Last
Ownership Percentage*
Residential Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
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

Ready to get started? No credit card required.

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All trademarks, service marks, and trade names referenced in this material are the property of their respective owners.
Chargezoom software does not require a merchant processing contract. Free trials restricted to the software only. Merchant processing / payment fees are billed separately.