Merchant Information Form - APS

Once You Have Completed the Below Form We Will Send You a Filled Out Merchant Account Application Within One Business Day. Once You Get the Filled Out Application All You Have to Do is Sign it and Fax it or eMail it Back to Us.

1Business Info > 2Processing Info > 3Owner Info > 4Other Info > 5Review
Business Information

This is the description of your section break.
Legal Business Name *
DBA Same as Legal Business Name *
Yes No
DBA = "Doing Business As" The Name Your Customers Would Expect to See on Their Credit Card Bill
DBA (Doing Business As) *

DBA = "Doing Business As" The Name Your Customers Would Expect to See on Their Credit Card Bill
Business Billing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Billing Address = Location You Want Your Bills Sent
Location Address of Business Same as Billing Address *
Yes No
Business Location Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Business Location Address = The Store's Actual Physical Address
Business Phone Number * - ### - ### ####
Business Fax Number - ### - ### ####
Federal Tax ID Number *
Years In Business *

If Less Than 1 Year in Business Put 0 in This Field
What Products Do You Sell *

Just a General List, You Do Not Need to List Out Every Specific Thing You Sell. Example: Clothes, Shoes and Bags
Main Contact For Business * First Last
Contact's Phone Number * - ### - ### ####
Work Cell Home
Your Comapny Refund Policy *
No Returns Returns Within 30 Days Other
Return Policy *

Short Description of Your Return Policy Example: Take Returns Up to 90 Days But Only With Receipt
Communication Preference *
Mail Fax E-mail
Email Address *
Have You Processed Visa, MasterCard or Discover Before? *
Yes No
If Yes, Please Submit 3 Months of Recent Merchant Statement *
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3 Months of Recent Merchant Statements *

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Enter Your Email Address

A special link to resume the form will be sent to your email address.

Merchant Information Form - APS

Merchant Information Form - APS

Business Information