Merchant Form

Please complete the form below, and our team will promptly reach out to you. Typically, it takes one business day to review your application.

Business Information

Business Name

Business Address (Physical Address)

Business address (Mailing address)

Email address

Phone number

Website address

Type of business (e.g., sole proprietorship, LLC, corporation)

Federal tax ID (EIN)

Years in Business

Description of products or services sold

Trade References

Contact details of business partners or suppliers

Technical Requirements

Type of POS (Point of Sale) system or payment gateway used

Hardware and software requirements

Security measures for data protection (PCI DSS compliance)

Owner/Officer Information

Name and title of the principal owner(s) or officer(s)

Home address

Contact Information

Financial Information

Average monthly sales volume

Average transaction amount

Highest Transaction amount

Percentage of sales by card type

Expected monthly volume of BTC, ACH, or other specific payment methods

Processing Information

Types of payment processing needed

Existing merchant processor details if switching providers

Description of the transaction process

Return and refund policy

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