Tua Direct - 5% (MR)

Merchant Signup Form

Please enter the following information. If you have any questions, please contact Merch@TuaFinancial.com.
Type a question
Legal Business Name*
Business Display Name / Doing Business As (DBA)
Employer Identification Number (EIN)*
Business Website*
Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
State*
Zip Code*

Liaison - This is the person IN YOUR OFFICE Tua will communicate through to ensure our service is Great! (NOT YOUR SALES REP)*

Liaison First NameLiaison Last Name
Liaison Email (This email will be used for direct communication betweenyour office and Tua.)*
example@example.com
Liaison Phone Number (This number will be used for direct communication betweenyour office and Tua.)*
Please enter a valid phone number.Format: (000) 000-0000.
Special Instructions for communicating with your Liaison.

Owner/Beneficiary Information

Please enter the information of the Primary Beneficiary of the business. Complete information is required to activate service
Owner Name*

First NameLast Name
Owner Birthdate*

MonthDayYear
Date
Owner Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Owner Email*
example@example.com
Owner SSN

Bank Account Information

In order to activate service, the following information is needed.
Account Number*
IMPORTANT: We will deposit your loan proceeds here.
Routing Number*

Agreement and Acknowledgement
Please review the following information and agree to the following statements below.
Should be Empty:

Merchant Signup Form