Merchant Processing Application

Merchant Processing Application ( 5 minutes to complete)

Within 12 hours of submitting your application, you will receive our complete Terms & Conditions for your review and electronic signature. Once we receive your signed agreement, your account can typically be approved and ready to accept payments within 24 hours. We take your privacy and data security seriously. All information submitted through our pre-qualification application and underwriting process is protected using industry-standard bank-level 256-bit AES encryption. Applications may be submitted 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
Processing History
Monthly Sales Volume
Average Ticket Size
Highest Ticket Amount
Current Debit Provider?
Terminal / POS System?
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 StatementsW9 Signed

Signed Form (1099)

(Link to IRS 1099 Form)

If you have mulitple locations that are seperate legal entity we need a seperate application of each location.

MULTIPLE LOCATIONS (MSO)

We need a seperate applcation for each location along with a cannabis license.

For large MSO, Excel Spredsheet will work for application data. Please send copies of your cannabis license labeled with the street address only. Please use all the field data from above to create your Excel.

If you have mulitple locations that are seperate legal entity we need a seperate application of each location.
Additional Notes
Should be Empty:

Merchant Processing Application ( 5 minutes to complete)

Financial Information

Processing History

Ownership Information

Required Documents

Additional Notes