DISCLAIMER: In order for your application to be accepted and viewed by our underwriting team, ALL pertinent business and product information must be completed in FULL and all fields filled out to the best of your ability. Missing documents and/or information WILL cause delays in the process or your application.
Business Profile Describe your Primary Product/Service
Foreign Transaction Distribution Percentage
Marketing/Sales Please describe how you advertise your Services/Products
Products/Services delivered in 1-7 days 8-14 days 14+ days
Customer Return Policy Full Refund Exchange None Other
Previous Processing Are you currently processing with another provider? No Yes
Have you ever been terminated by any processors? No Yes
Please list the services you had with this processor
Processing statistics for the past 3 months Number of High Risk Returns
Settlement Information
Bank Account Holder Information Required Documents * The ability to add multiple documents of a single type is available. In order to do so hold ctrl and used the left mouse button to select all relevant documents for the selected type from the document selection screen.
*We may require additional documentation for applications. Such as corporate financial tax return, etc.