Merchant Application

Apply for Merchant Services Low Rate Quote

Complete the form below to help us determine the lowest possible merchant services rates we can offer for your business. This is not a merchant account application. It is a preliminary rate review form that collects business, ownership, equipment, and underwriting information so we can assess your file quickly and accurately. Once submitted, we will provide you with a quote and a contract outlining the proposed rates for your business. Our goal is to provide you with the lowest possible rates for merchant services!

General pricing note for New Business Only: If your business is new and has never accepted credit cards before, standard low-rate pricing typically starts at 0.20% + $0.25 per transaction (Interchange Rates), plus other standard processing fees.

Instructional Video

Merchant Application for a Quote

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Estimated time

5 to 10 minutes

Required uploads

Driver's license and voided check

Next step

Contract review before underwriting

Before you start

Have the owner's Social Security number ready.
Upload a driver's license and a voided check.
If the business accepts EBT, include the FNS number and FNS certificate.
If the business already processes cards, upload the most recent merchant statement.

Important review notes

A merchant statement is required for businesses already accepting credit cards.
For EBT merchants, the FNS number must not already be tied to another active merchant account.
Each business location must maintain its own underwriting and processing compliance.
After review, a contract with rates and terms will be sent for signature before the file goes to underwriting.

Current processing merchants

If you already accept credit cards, please upload a recent merchant statement. This helps us review pricing, transaction mix, deposit history, and processor setup more accurately.

EBT / SNAP merchants

If you accept food stamps, include your FNS information and related supporting documents. Additional review may be required for grocery and convenience businesses based on location and risk factors.

Underwriting workflow

Submitting this form starts the internal review process. Approval is not instant, and final boarding depends on document review, contract execution, and underwriter approval.

Merchant Services Intake Form

All required fields are marked through validation and will be saved into your merchant CRM record.

Secure submission

1. Business Information

Business profile

Tell us about the business, its structure, current processing status, and how payments are accepted today.

How did you hear about us?

This field is required.

When was the business established?

Please provide a valid date.

Business Name / DBA

This field is required.

Number of locations

Please enter a valid number (1 or more).

Business Structure

This field is required.

EIN Number

This field is required.

Business Address

This field is required.

Business Address 2

This field is required.

City

This field is required.

State

This field is required.

Zip

This field is required.

Business Phone

This field is required.

Business Email

This field is required.

Business Owner Name

This field is required.

Percentage of Ownership

Please provide a percentage between 0 and 100.

Do you currently accept credit cards?

This field is required.

Will you be accepting EBT?

This field is required.

FNS Number

This field is required.

Business Website

This field is required.

Business Description

This field is required.

Credit card acceptance mix

Tell us how your credit card transactions are split today. These two percentages should total 100%.

Over the phone %

Required.

Percentage type

This field is required.

In person with physical terminal %

Required.

Percentage type

This field is required.

Combined percentage total: 0.00%

2. How do you accept payment?

Transaction timing and deposit profile

These details help us understand the business payment cycle, average sale size, monthly volume, and whether deposits are collected before services are delivered.

Average Ticket Price Amount

Please enter the average ticket price amount.

Average Monthly Amount

Please enter the average monthly amount.

When is payment due?

This field is required.

Do you take deposits?

This field is required.

3. Owner Information

Principal owner

Enter the primary owner or principal information exactly as it should appear on the application and underwriting file.

Owner First Name

This field is required.

Owner Last Name

This field is required.

Owner Phone

This field is required.

Owner Social Security Number

SSN is required.

Owner Address

This field is required.

Owner Address 2

This field is required.

Owner City

This field is required.

Owner State

This field is required.

Owner Zip

This field is required.

4. Program Options

Equipment and pricing interest

Let us know what equipment and pricing options the business is interested in so we can tailor the proposal and contract correctly.

Equipment

This field is required.

Veteran Owned Business?

This field is required.

Interested in the 0% Surcharge program? (Offer varies by state)

This field is required.

5. Document Uploads

Supporting documents

Upload the required documents below. Conditional uploads only apply when the related processing or EBT options are selected.

Driver's License

Driver license is required.

Required. Accepted file types: PDF, JPG, JPEG, PNG, WEBP.

Voided Check

Voided check is required.

Required. Upload a voided check or acceptable banking proof.

FNS Certificate

FNS certificate is required when EBT is selected.

Required only if the business accepts food stamps or EBT.

Merchant Statement

Merchant statement is required when current processing is Yes.

Required only if the business already accepts credit cards.

Privacy Notice: We do not sell, rent, trade, or share your private, personal, financial, or business information with third parties for advertising, marketing, or lead generation purposes. Information submitted through this form is collected solely for rate analysis, identity verification, fraud prevention, onboarding, underwriting preparation, and related account setup. Your information is protected using bank-grade encryption and industry-standard administrative, technical, and physical safeguards, and access is limited to authorized personnel with a legitimate business need to know. We disclose information only when necessary to process your request, complete onboarding with banking or payment processing partners, support fraud-prevention and compliance functions, or comply with applicable law, legal process, or regulatory requirements.

What happens after submission? We review the application for completeness, verify the uploaded documents, and prepare the merchant file internally. If everything is in order, a contract with rates and terms is sent for signature before the application is submitted to underwriting.

Processing: Your merchant application is being submitted now. Please wait and do not press submit again.

Quick checklist

Owner SSN entered
Driver's license uploaded
Voided check uploaded
FNS certificate uploaded, if EBT
Merchant statement uploaded, if already processing
Credit card percentages total 100%
Equipment and surcharge options selected

Why we request these documents

To verify ownership and application identity
To confirm deposit account details
To review current processing setup and rates
To reduce delays during underwriting review

Need help?

If a document is unavailable right now, you can still begin the application, but missing required items may delay contract preparation and underwriting submission.