Merchant service Application

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Applicant Information

DBA Company Name
Applicant Legal Name
Legal Company Name
Business Phone Number
Legal Company Address
Country
City
Postal Code
Business Start Date
Website
Admin Email
Product or Service Sold

Business Owner/ Signing Officer Information

Signing Officer / Owner
Date of Birth
Phone Number
Company Address
Country
City
Postal Code

Sales Volume

Currency
Monthly Volume
Average Ticket Size
Highest Ticket Size
Do you process returns?

Additional Information

Current Card Processor (optional)
Where does the highest % of your transaction volume come form?
Are you processing any payment?
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