Legal Business Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

DBA Address (leave blank if same as legal)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Main Contact Name *

First Name

Last Name

Contact Phone Number *

(###)

###

####

Is the Business Seasonal *

YES

NO

Type of Business Ownership *

Please choose the business type for your business.

Sole Proprietorship

Partnership

LLC

Ltd Partner

Corporation Public

Corporation Private

Corporation Non-Profit

Other

Type of Business *

Please select the merchant type that best describes your business.

Retail

Restaurant

Lodging

Service

Business to Business

Internet

MOTO (Mail Order Telelphone Order)

Owner / Officer Name *

First Name

Last Name

Owner Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Owner Phone

(###)

###

####

Bank Phone number *

(###)

###

####

Would you like your 1099k emailed to you?

Yes

No

Required Documents

W-9

Articles of Organization

Other Documents (we may have recommended additional documents in coversation).