Let's Get Started!

Let's Get Started!

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Owner Information

Please provide your owner details below.
Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SSN*
Social Security Number
Birthdate*

MonthDayYear
Date
Business Information

Please provide your business details below.
Legal Business Name*
Business Phone Number*
Please enter a valid phone number.
Business Type*
Business Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Year Founded*
Average Ticket ($)*
Auto Batch Time*

Hour Minutes

AM/PM Option
EIN Federal Tax ID #*
EBT FSN #*
Do you want tips?*

YesNo
Bank and Deposits Information

Please provide your bank and deposit details below.
Accept WEX/Fleet Cards?*

YesNo
Sales Tax Rate Per Sale (%)*
Name on Deposit Account*
What Is Your Rep's Name?*
Bank Name*
Routing Number*
Account Number*
Sales Agent*
Driver’s License*

PDF or images, up to 4 files
Cancelof
Voided Check*

PDF or images, up to 4 files
Cancelof
Bank Statement*

PDF or images, up to 4 files
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Merchant Statement*

PDF, up to 4 files
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Owner Information