Merchant Application

This information is for our Payment Processor Merchant Application (Yes some information is repetitive). You will receive an email to the business owner’s email address requesting you to review the application and electronically sign the document. Expect the payment processor to review the application and request additional information. The process takes 2-7 days.

Name of Ownership Entity (Legal Name) *

Doing Business As *

Business Description *

Type of Ownership *

Business Start Date *

Tax ID (GST) *

Type number

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Telephone # (Landline) *

Telephone # (Mobile) *

Email *

Website / URL *

Time Zone *

Email (Customer Service) *

Date / Time

Date

Time

Email (Statement) *

Authorized Contact *

Email (Authorized Contact) *

Telephone # (Merchant Customer Service) *

Previous Processor? *

Owner Name *

First

Last

Owner Email *

Percent Ownership

Selected Value: 100

Driver's License # *

Type number

Driver's License Province or State *

Bank Institution Name *

Bank Account # *

Type number

Bank Institution # *

Type number

Bank Transit # *

Type number

Bank City *

Bank Province or State *

Bank Postal or Zip Code *

Attach a Void Cheque *

Click or drag a file to this area to upload.

Upload as a PDF

Attach a Copy of Drivers License (both sides) *

Click or drag files to this area to upload. You can upload up to 2 files.

Upload as a PDF