Merchant Application

Your Information Is Secure
All information you provide in this Merchant Account Application form is securely encrypted and protected in accordance with our Privacy Policy. We take data security seriously and ensure that your personal and business details remain confidential at all times.

Please review our full Privacy Policy for more information on how your data is handled and protected.

Date

Choose One

New Account

Additional Location

Business Information:

Type of Ownership:

Sole Proprietor

Partnership

Corporation

Limited Liability Companies

Non-Profit

Government

Company Location

Store Front

Warehouse

Office Building

Residence

Website

Other

Legal Business Name: (for Sole Proprietorships, enter Principal’s name)

DBA:

Federal Tax ID Number(TIN): (for Sole Proprietorship this may be your SSN#)

Email:

Website:

Phone:

Corporate Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Physical Address if Different

Address Line 1

Address Line 2

City

State

Zip Code

Country

Other Business Type

First Name

Last Name

Title

Ownership %

Date of Birth

Social Security #

Driver's License #

State Issued

Cell Phone Number

Email Address

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Co-Applicant Information

First Name

Last Name

Social Security #

Driver's License #

State Issued

Title

Ownership %

Date of Birth

Cell Phone Number

Email Address

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Percentage of Business Transactions (MUST = 100%)

Keyed (Card Present) %

Card Swiped %

Keyed (Card Not Present) %

Store Front (Cardholder Present) %

Mail/Phone Order %

Internet (eCommerce) %

Description of product sold:

How do you advertise?

Catalog

TV or Radio

Direct Mail/Flyers

Internet

Do you currently accept Visa/MC/Discover® Network?

Yes

Is your business seasonal?

Yes

What is your return, cancellation, or refund policy?

Refund in 7 days

Refund w/in 30 days

Exchange Only

None

Other

Link to Refund Policy if any

Document Upload Requirements

Please upload the following documents to complete your merchant account setup:

Driver’s License or Government ID (for business owner)
Business License or Registration Certificate
Voided Check or Bank Letter (for account verification

Note:
Only merchants switching from another payment processor are required to upload three (3) consecutive months of recent bank statements for underwriting review.

All files are transmitted securely and kept confidential in accordance with our Privacy Policy

Required Document Check-Off

Business License

Driver's License (of the authorized signatory)

Voided Check (for bank verification)

Tax Information (SS4 letter)

(3) Months Credit Card Statements

Upload all required documents.

Choose File

By clicking the submit button, I agree to terms & conditions

By clicking “Submit,” you confirm that all information provided is accurate and complete. You authorize Merchant One Group, LLC to collect, verify, and process your information for merchant account underwriting and related financial services. You acknowledge that you have read and agree to the Privacy Policy