Prospective merchants can complete this application to save time and effort. With this information, we can determine whether we can assist you with obtaining your credit card merchant account(s).  If your Pre-App is approved, we you to proceed and complete our application form.

Merchant Account Pre-App

  • Please enter a value between 0 and 99.
  • Name of your current credit card processor, if any
  • Name of the account as it appears on the bank statement.
  • Address of the account as it appears on the bank statement.
  • City of the account as it appears on the bank statement.
  • State of the account as it appears on the bank statement.
  • Zip code of the account as it appears on the bank statement.
  • 9-digit ABA routing number.
  • Your title in the organization.
  • To e-sign this authorization, type your name in this format: /first-name last-name/
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