Jarvis

Contact Information

First Name

Last Name

E-mail

Mobile Phone

Business Information

Business Name

Business Type

Category Mcc Sic

Mcc Sic

Address

Suite/Floor/etc

Zip

City

State

Federal Tax ID

Years In Business

Estimated High Ticket $

Average Monthly Sales $

Average Ticket Size

Website Url

Do you currently accept credit cards?

Yes
No

Banking

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Account Ownership

Business Name

First Name

Last Name

Routing Number

Bank Account Number

Ownership

First Name

Last Name

Address

Suite/Floor/etc

Zip

City

State

E-mail

Phone

Date of Birth

Owner Title Company

Ownership %

SSN

Business Manager Responsible for day to day business operations ✔

Authorized Signer Able to sign legal documents for the business ✔

Signatures

Merchant Application

1 Confirmation Questions

1

2

3

1 Upload Documents

1 Driver License

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2

2 Voided Check or Bank Letter

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Terms and Conditions

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Contact Information

Banking

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Service Fees

Fees

Equipment

Agents

Terms & Conditions