Merchant Application Form

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MERCHANT BANK ACCOUNT INFORMATION

* Any ACCOUNT NUMBER indicated must be a valid account number for handling ACH deposits and withdrawals.
* If more han one account is indicated, account #1 will be used for Sales.

Deposit Time Frame :

Premium ACH Next Day Funding (requires additional review)

Deposit Type :

Combined By Batch

DDA Account Type :

Checking Savings

Routing #1 :

Account #1 :

DDA Account Type :

Checking Savings

Routing #2 :

Account #2 :

If a second account, this account is used for :

Discount Fees Credits Chargebacks

You will lose the data

You will lose the data

Alert!

Unable to save because you have not yet started the application (application ID missing).
Please click continue to start the application from Business Information page.

Alert! Application is underwriter review.

Alert! Application is archived and is accessible for logged in users.

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