• FullPayment Application

     Upon submission, a confirmation email will be sent to the Business Email Address that you enter. 

    If you need to save your entries and continue later, scroll to the bottom of this page and click the "Save and Continue Later" link.

    All items marked with an asterisk * are required.

  • Tell Us About Your Business

  • Additional Business Information

  • Ownership Information

  • If there are more than 3 owners, add them in the Additional Notes section near the bottom of this form.

  • Provide the following information for each individual who owns, directly or indirectly 25% or more of the business.

  • ---- Owner/Officer 1 ----

  • Required Documents

  • Please upload the following documents:

    • Voided Check or Bank Letter
    • EIN Letter
    • Background information on principals – LinkedIn profile link, resume or bio
    • Corporate Overview, Investor Presentation, or Sales Presentation deck
    • 2 years of fiscal year financial statements (Audited statements preferred but in house, CPA reviewed or tax returns may be acceptable). If public company, please provide ticker symbol and no need to provide actual financial statements
    • Interim financial statements (most recent quarterly financial statements generally required if present date is more than 5 months past merchant’s fiscal year end). If public company, no need to provide.
    • 3-year P&L projections (if merchant is a start-up or existing company operating at a loss)
    • 3 Month's Merchant Processing Statements (if available)

    The following limitations apply:

    • Maximum total size: 256 MB
    • Allowed file types: pdf, jpg, jpeg, gif, png
  • Drop files here or
    Accepted file types: pdf, jpg, jpeg, gif, png.

  • Additional Notes

  • This field is for validation purposes and should be left unchanged.
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