• New Merchant Enrollment

    Onboarding Form

  • BUSINESS INFORMATION

  • Organization Type*
  • Date of Incorporation (Secretary of State)*
     - -
  • Publicly Traded?
  • Format: (000) 000-0000.

  • COMPANY CONTACT FOR FINANCING

    The Financing Contact
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Please Select Which Products/Services Provided:*
  • Please Select Which Services/Products Provided:*
  • Select Product Types*
  • Are you Interested in the Guaranteed Approval Program? (This is an Opt-In Program and requires a separate Agreement)
  • Has the Company Ever Declared Bankruptcy?*

  • PRINCIPAL INFORMATION

    This information must be filled correctly or enrollment cannot be processed. If you have questions on the following please reach out and inquire before submitting inaccurate information.
  • Principal 1 Date of Birth (DOB)*
     - -
  • Format: (000) 000-0000.
  • Additional Owner(s)?*
  • Principal 2 Date of Birth (DOB)*
     - -
  • Format: (000) 000-0000.

  • Banking Information

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  • Signature Page Next - Click Next to go to Signing

  • Merchant Agreements

  • For purposes of this enrollment, “Merchant” and “Dealer” refer to the same business entity identified in this application. The entity may be referred to as “Merchant” in this enrollment form and “Dealer” in the Dealer Agreement. “Magwitch” means Magwitch LLC, together with its affiliates, successors, and assigns. “Agreement” means the Dealer Agreement entered into between Merchant and Magwitch, as amended from time to time.

    By submitting this application, the undersigned individual, on behalf of Merchant and, where expressly stated, in his or her individual capacity, agrees as follows:

  • Credit Authorization

    I authorize Magwitch and any participating Lender to obtain, verify, and use commercial and consumer credit reports and related information about Merchant/Dealer and about me. To the extent a participating Lender obtains my consumer credit report, I acknowledge and agree, individually and in my personal capacity as the consumer to whom the report relates, that this authorization constitutes my written instructions under the Fair Credit Reporting Act (15 U.S.C. § 1681b(a)(2)) and applicable state law for Magwitch and that Lender, each acting on its own behalf, to obtain my consumer credit report to evaluate this application and Merchant/Dealer's onboarding and continued participation. I authorize any person or entity to furnish such information, and authorize Magwitch to exchange it with participating Lenders; Magwitch is not required to re-disclose any report it obtains, and any participating Lender may rely on this authorization to obtain its own reports directly.
  • Today's Date*
     - -
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  • Should be Empty: