Apply - AllayPay Merchant Services

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1 Business

2 Owners

3 Processing

4 Documents

Corporate Contact Information

Contact First Name *

Contact Last Name *

Contact Phone Number *

Contact Email *

Customer Service Number *

Customer Service Email *

Business Information

Corporate / Legal Name *

Ownership / Entity Type *

Country *

Legal Street Address *

City *

State *

ZIP *

Business Founded Date? *

Federal Tax ID / EIN *

Is your DBA Is your DBA location address the same as the Corporate / Legal? *

Yes

Please list all owners who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise, own 25% or more of the equity interests of the legal entity listed in this application. Additionally, please ensure the owner(s) below equate to a combined ownership of at least 51%.

Primary Owner & Address

First Name *

Last Name *

Title *

Ownership Percentage *

Country *

Address *

City *

State *

ZIP *

Primary Owner Information

Social Security Number (SSN) *

Date of Birth *

Mobile Number *

Email *

ID State *

ID Expiration Date *

Additional Owner & Address

First Name *

Last Name *

Title *

Ownership Percentage *

Country *

Address *

City *

State *

ZIP *

Additional Owner Information

Social Security Number (SSN) *

Date of Birth *

Mobile Number *

Email *

ID State *

ID Expiration Date *

Additional Owner & Address

First Name *

Last Name *

Title *

Ownership Percentage *

Country *

Address *

City *

State *

ZIP *

Additional Owner Information

Social Security Number (SSN) *

Date of Birth *

Mobile Number *

Email *

ID State *

ID Expiration Date *

Additional Owner & Address

First Name *

Last Name *

Title *

Ownership Percentage *

Country *

Address *

City *

State *

ZIP *

Additional Owner Information

Social Security Number (SSN) *

Date of Birth *

Mobile Number *

Email *

ID State *

ID Expiration Date *

We detected the ownership is below 51%. You can still continue with this application but please ensure all owners who, directly or indirectly, own 25% or more are listed. Additionally, the combined ownership should equate to 51% or higher.

We detected the combined ownership was above 100%. Please correct the ownership percentages.

Bank Account Information

Business bank account (information where funds are to be deposited)

Bank Name *

Bank Routing Number *

Bank Account Number *

Payment Information

We need a bit of information about your business and how it accepts credit/debit cards.

Does this business currently accept credit/debit cards? *

Yes

Monthly Volume *

Avg Transaction Amount *

Max Transaction Amount *

Briefly Describe Your Product/Service *

Intended Usage

In-person *

Mail/Phone *

Online *

Total *

Website Address

List essential details for account setup (e.g. pricing, equipment, software, POS system, terminals, gateway, batch times, etc.) *

Documents Upload

Main documents:

Voided Check/Bank Letter
Owner’s ID(s)
Last 3 Months' Bank Statement(s), if available
Last 3 Months' Processing Statement(s), if available

Drag & drop your documents or click here to browse for a document to upload.

Only .jpg, .png, .bmp, .pdf, .doc, .docx, .xls, .xlsx will be accepted.

Please complete all required fields on the following pages:

Por favor, complete todos los campos obligatorios en las siguientes páginas:

All fields marked with * are required.

Todos los campos marcados con * son obligatorios.

Your contact information is secure and adheres to our strict Privacy Policy.

Meta title fix

Online Application

1

Business

2

Owners

3

Processing

4

Documents

Corporate Contact Information

Business Information

Primary Owner & Address

Primary Owner Information

Additional Owner & Address

Additional Owner Information

Additional Owner & Address

Additional Owner Information

Additional Owner & Address

Additional Owner Information

Bank Account Information

Payment Information

Intended Usage

Documents Upload

Main documents: