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Merchant's Company Information

Please enter the following information about your company or sole proprietorship.

Business Owner

Please enter the contact information for the owner of this business or the primary contact person for this account. (you may add additional owners once your account has been created)

Ext.

Owner History

Please provide answers to the following questions for applicants
Ever been convicted of a crime?

Ever been blacklisted or had an account closed by MasterCard/ Visa or ACH processor?

Ever filed bankruptcy in the last 10 years?