Business Advance Now Apply For Credit Card Processing

Apply For Credit Card Processing

 BUSINESS NAMES
  Legal Name:  Legal Address:
  City, State, and ZIP:  Legal Phone #:
  Contact #:  Fax #:
  Customer Svc. # (if different):  DBA Name:
  DBA Address (No PO Box):  DBA Phone #:
  City, State, and Zip:  Website Address:
  E-mail Address (required to
         receieve E-statement):
 MERCHANT PROFILE
  Month and Year:
  Type Of Entity:  LLC  LLP  Non Profit
   Corporation  Partnership  Sole Proprietorship
  Products or Services Sold:
 MERCHANT/OWNER INFORMATION
  Name:  Title:
  Ownership %:  Home Address:
  City, State and ZIP:  Length at Address:
  SSN:  Date of Birth:
  Home #:  Cell #:
 CURRENT PROCESSING INFORMATION (if applicable)
  Terminal / Software Model:  Number of Terminals:
  Current Processor Rate:
  Time with current Processor (if applicable)
  Years and Months:     Monthly Credit Card Sales:

Applicant and applicants named officer or owner, Named above, each authorize Business
Advance Now its assignees, agents, banks or financial institutions to obtain an investigative or consumer report from a credit bureau or a credit agency and to investigate the references provided on this application or any other statement or data obtained from applicant and applicant’s named officer or Owner for the purpose of obtaining funding through Business Advance Now.
       I Agree                                          Date:
 
  Last 4 months complete most recent Merchant Statements:
  Last 6 months complete Business Banking Statements:      
  Business License or Article of Incorporation:                       
  Photo ID:         
  Voided Check :
 
 

  • Apply For Credit Card Processing
  • Apply For Credit Card Processing
  • Apply For Credit Card Processing
  • Apply For Credit Card Processing
  • Apply For Credit Card Processing
  • Apply For Credit Card Processing

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