Merchant Processing Application

Merchant Processing Application

Within 24 hours we will reply and discuss the options you have. We respect your privacy and protection. All data provided on our pre-qual application that is submitted to our underwriting department is secured by standard bank level 256-bit AES encryption. Submission times 24/7
Merchant Corporate Legal Name
Merchant Business Name DBA (Doing Business As)
Operational Details
Is the physical Address the same as the Legal address?
Financial Information
Operate a Cashless ATM?
ATM Onsite
Current Bank Name
Bank Routing #
Bank Account #
Processing History
Monthly Processing Volume
Average Ticket Size
Highest Ticket Amount
Current Payment Provider?
Current Debit Provider?
Terminal / POS System?
How many terminals will you need?
Have you been placed on the MATCH list?
Business Phone
Contact Mobile
Business Email
example@example.com
Merchant Address
Street Address
Address Line 2
City
State/Region/Province
Postal / Zip
Country
Website
State of Incorporated
Month & Year Started
Federal Tax ID #
Ownership Type
Equipment Type (windows pc, ipad etc)
How much do you want to charge the customer to swipe ($3, $3.50, $4, $5 etc)
a straight percentage option is available
Onboarding can only assign user id's or budtenders, delivery drivers and management. Once the credentials are emailed to the customer they can change the user id name and the passwords.
How many cash registers do you have?
This will help us set up the proper number of user id's
How many delivery drivers do you have?
This will help us set up the proper number of user id's
How many delivery drivers extra user id's would you like?
How many budtenders do you employ?
This will help us set up the proper number of user id's
How many budtender extra user id's would you like?
Ownership Information
Owners First Name
First Name
Middle Name
Last Name
Owners Drivers Lic # & State
Owners Birthdate
Is there another owner with 25% or more ownership?
Owners SSN
Percent of Ownership
Owners Home Address
Street
Address Line 2
City
State
Postal /Zip Code
Owners Phone
Owners Email
Required Documents

please email to brianpartridge@partridgemerchantprocessing.com
Articles of Incorporation
EIN Letter / Number
Government Issued Photo ID
Voided Check
Any state licenses your business is required to have (Cannabis)
1 months most recent Bank Statements or
1 months most recent Merchant Processing Statements

W9 Signed (Link to IRS Form)
Additional Notes
Should be Empty:

Merchant Processing Application

Financial Information

Processing History

Ownership Information

Required Documents

Additional Notes