General Business Information:

• Legal/Corp. and DBA (Doing Business As) name
• Federal Tax ID# or Social Security # (for sole proprietor)
• Business mailing and location address
• Business telephone and fax number
• Contact name, email address
• Company's existing or future web site address

 Ownership Information:

• Legal Entity Length of Time In Business
• Length of Current Ownership
• Name(s), Home Address(es), Telephone Number(s), Social Security Number(s), of Owner(s)

 Sales Information:

• Estimated Monthly Credit Card Sales
• Estimated Average Credit Card Sale Amount
• Percentage of credit card sales by mail order, telephone order and retail/in-store purchases
• Refund policies
• How your product or service is advertised
• Name, address and phone number of current credit card processor (if applicable)
• Merchant account number through current credit card processor (if applicable)

 Services Desired:

• Decide on the credit card types you will want to accept in addition to MC/Visa
• Account information of any established accounts with American Express or Discover Banking

 Reference and Routing Information:

• Bank name and address
• Name and phone number of contact at bank
• Routing and checking account information (you can get this information from one of your blank checks)

Merchant Signature and Initials:

• Please Initials page 3 of the application
• For signal applications two Signature are required for Merchant on page 4. (Please sign the "By:" under In witness whereof and at the end of the page by the Guarantor section.
• For Co Applicants please follow above direction and sign under main applicant and by the Guarantor section. Total of 4 signatures are required, two per applicant.