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Please fill out the secure intake form below to apply for a merchant account
Business Details
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What type of business or product is sold? i.e. restaurant, auto shop, salón
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Processing Details:
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Please provide the highest amount you anticipate charging in a single transaction. Additional documentation required for high ticket sales including but not limited to business bank statements and past invoices.
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How much is your average card sale?
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Please provide the average total amount you process in card payments each month.
What percentage of your card sales do are manually entered where the card is not present at the time of purchase (i.e., online or over the phone)?
What percentage of your card sales do are swiped, inserted, or tapped via EMV?
If you have not processed credit cards yet, please enter estimated percentages (%) for each category. These can be approximate.
Sum of both these MUST BE EQUAL to 100. (La suma de ambos debe ser igual a 100)
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If you accept food stamps and/or EBT payments, please enter your FNS number above.
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