ARCA - Merchant Services Signup Link

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Merchant Services Agreement
Before you begin, please ensure you have the necessary documents and information ready. You will need a copy of a voided check/bank letter, a copy of the signer's driver's license, and details such as Social Security Number and Date of Birth for all owners with 25% or more ownership. If you are a private corporation, LLC, or partnership, you will also need to provide information on your controlling individual. Additionally, the agreement must be signed by an owner or the designated controlling individual. Having these prepared in advance will help ensure a smooth and efficient submission process.
Contact Name*

First NameLast Name
Title*
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.

Business Information
Business DBA (Doing Business As) Name*
Business Legal/Corporate Name*
Your Business Address (No P.O. Boxes)*

Street Address

Street Address Line 2

CityState

Zip Code
Your Business Billing/Corporate Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Business Phone Number*
Please enter a valid phone number.
Your Business Email*
example@example.com
Your Business Website*
Your Business Start Date*

MonthDayYear
Date
Products/Services Sold*
Your Business' Entity Type*

Limited Liability Company/LLCPrivate Corporation - Chapter S/CIndividual/Sole ProprietorshipTax Exempt Organization (501c)Public CorporationPartnership
State of Formation*
Name (as it appears on your income tax return)*
Federal Tax ID # (as it appears in your income tax return)*

Controlling Individual Information

Only applies to private corporations, limited liability corporations, or partnerships. An Individual with significant responsibility for managing the legal entity (e.g., a Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, or Treasurer).
Controlling Individual's Name

First NameMiddle InitialLast Name
Controlling Individual's Ownership Percentage
Controlling Individual's Title
Controlling Individual's Phone Number
Please enter a valid phone number.
Controlling Individual's Email
example@example.com
Controlling Individual's Home Address (No P.O. Boxes)

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Controlling Individual's Date of Birth

MonthDayYear
Date
Controlling Individual's Social Security Number
Ownership Information

Each Individual, who owns, directly or indirectly, 25% or more of the equity interests of the legal entity customer (e.g., each natural person that owns 25% or more of the shares of a corporation).
How Many Owners have 25% or More Ownership in the Business?

Additional Documents and Signature

Please review the agreement PDF before submitting. Partially completed or unsubmitted forms will not be recorded, and thus, the e-signature will be invalid. After submission, you can download a copy of the agreement, and a copy will also be emailed to you.
Additional Documentation

Voided Check or Bank Letter required. Starter checks will not be accepted. A bank letter must have a bank letterhead, the company's name, routing number, bank account number, and signature from a bank representative.
Voided Check or Bank Letter*

Cancelof
Photocopy of Driver's License*

Cancelof
Signature and Initials
Initial Here*

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Signature*

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Signing Date

MonthDayYear
Date
Cost 1
Cost 2
Cost 3
Total 1
Total 2
Total 3
Total Month
Total Cost (over 4 years)
Equipment Name 1
Equipment Name 2
Equipment Name 3
Should be Empty:

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