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Pre-Qualification
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Pre-Qualification
Get Pre-Qualified for Payment Processing
Business Information
Legal Business Name
*
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Doing Business As:
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Federal Tax ID:
*
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Business Type:
*
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Description of Products/Services:
*
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Month/Year Established:
Business Address:
*
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City/State/ZIP:
*
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Mailing Address:
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City/State/ZIP:
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Business Email:
*
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Business Phone:
*
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Website:
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Do You Take Deposits?
*
Yes
No
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Do customers pay a deposit before receiving the product/service?
Personal Information
First Name:
*
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Middle Name:
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Last Name:
*
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SSN or EIN:
*
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Percentage of Ownership:
*
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Home Address:
*
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City/State/ZIP:
*
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Date of Birth:
Personal Email:
*
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Personal Phone:
*
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Bank & Processing Information
Monthly Volume:
*
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Average Ticket:
*
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High Ticket:
*
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Additional
Special requirements, questions, shopping cart integration, services, platform, etc..
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