CC Fee Settlement Info

Get Information About the Payment Card Interchange Fee Settlement
Is this for a US-based company?*

YesNo
Sorry, this settlement is only for US-based companies
Company Name*
Entity Type
Business Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Your Name*

First NameLast Name
Signer Title
Signer's Title
Such as President, Owner, Executive Director. Signer must be an Owner or Executive with the company and have legal signing authority
Your Email*
example@example.com
Type of tax id for your company

EINSocial Security Number
Please enter you EIN number in this format: ##-#######

Example: 12-1234567
Please enter the social security number in this format: ###-##-####

Example: 123-12-1234
Company EIN/TIN
Message
Signer phone number (if we need to text you for information or to give updates)
Please enter a valid phone number.
Referral code
Enter the message as it's shown*
Should be Empty:

Get Information About the Payment Card Interchange Fee Settlement