Avid Merchant Services

Step: 1/4

Business Information
Personal Information
Business Bank Information
Processing Information

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English

Español

CANADIAN

English

Step: 1/4

Business Information
Personal Information
Business Bank Information
Processing Information

Please enable JavaScript in your browser to complete this form.

Business Information – Step 1 of 4

Ownership Type *

Legal Business Name *

This should be the legal name of your business as registered with the state. If applying as a sole proprietor, use your First and Last name.

DBA Name *

Business Phone *

Email Address *

Tax ID/EIN *

You can find this number on your IRS Form-SS4. If you are a sole proprietor and haven’t pulled an EIN/TAX ID you can use your SSN.

Premise Type *

Years *

Months *

Business Website Address

Business Type *

Industry Type *

Address *

Address Line 1

City

State

Zip Code

Is your DBA address the same as your Legal Business address? *

Yes
No

DBA Phone *

Address *

Address Line 1

City

State

Zip Code

Years *

Months *

Name *

First

Last

Is your Personal address the same as your Business or DBA address? *

No
Same as Legal
Same as DBA

Address *

Address Line 1

City

State

Zip Code

Years *

Months *

ID Type *

ID Number *

State *

Country *

Social Security Number *

Do not add dashes. Please make sure your credit isn’t frozen or blocked before submitting this form.

Minimum Age Of 18 *

You must be 18 years or older to apply

Personal Phone Number *

Personal Email Address *

Ownership *

Add Owner

Only people with at least 25% ownership need to be included on this application.

Name

First

Last

Minimum Age Of 18

You must be 18 years or older to apply

Owner Phone Number

Email Address

Address

Address Line 1

City

State

Zip Code

ID Type

ID Number

State

Country

Ownership

Routing Number *

Tooltip content

Bank Name *

Account Number *

Please include the full number all zeros before or after.

Are you currently processing credit and debit card transactions? *

Yes
No

How do you want to process card transactions? *

online
in person swipe
over the phone

Maximum Monthly Credit Card Sales *

If you’re a new business with no prior processing put $5,000 unless you’re sure that you will need more.

Average Transaction *

The average amount a customer will spend in one transaction.

Highest Transaction *

The highest common ticket size you see from customers in one transaction. May be multiple items purchased at once.

Interested in Fraud/Chargeback Protection? *

Yes
No

Do you want to accept ACH/eCheck payments? *

Yes
No

Are you interested in business funding options? *

Yes
No

How much funding do you need? *

What is your intended use of funds? *

What is your credit score? *

Required Documents

The information you enter will not be distributed or sold.

Upload Supporting Documents

Securely upload documents to speed up the underwritting and approval process.

Drag and drop the file
or browse to choose a file

Your files are uploaded with 256 bit encryption.

Required Docs:

Voided check
Color copy of photo ID

Español

Step: 1/4

Información Comercial
Información Personal
Información bancaria comercial
Información de Procesamiento

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Información de la Empresa – Step 1 of 4

El Tipo De Propiedad *

Nombre Legal *

Este debe ser el nombre legal de su negocio registrado en el estado. Si presenta Empresario Por Cuenta Propia, pon su nombre y apellido.

El Nombre De DBA *

Un Teléfono Válido *

Una Dirección De Correo Electrónico Válida *

Numero De Indentificación *

Puede encontrar este número en su formulario SS4 del IRS. Si es un propietario único y no ha obtenido un EIN/NIF, puede usar su SSN.

Tipo De Edificio *

Años *

Meses *

Dirección del sitio web empresarial *

El Tipo De Negocio *

Tipo De Industria *

DIRECCIÓN *

Address Line 1

City

State

Zip Code

Ingrese la dirección de su negocio legal que ha registrado con el estado. Esta dirección debe coincidir con su forma del IRS SS-4.

¿Dirección de DBA igual que dirección legal? *

Sí
No

Teléfono DBA *

Dirección *

Address Line 1

City

State

Zip Code

Años *

Meses *

Nombre *

First

Last

¿Su dirección de domicilio es la misma que la de la negocio o DBA? *

No
Igual que Legal
Lo mismo que DBA

Dirección *

Address Line 1

City

State

Zip Code

Años *

Meses *

Tipo De Identificación *

Número De Identificación *

Estado *

El País *

Seguridad Social *

No agregue guiones. Asegúrese de que su crédito no esté congelado o bloqueado antes de enviar este formulario.

Una Edad Mínima De 18 Años *

Debe tener 18 años o más para aplicar.

Teléfonico Personal *

Correo Electrónico Personal *

Propiedad *

Add Owner

Only people with at least 25% ownership need to be included on this application.

Nombre

First

Last

Una Edad Mínima De 18 Años

Teléfonico Personal

Correo Electrónico Personal

Dirección

Address Line 1

City

State

Zip Code

Seguridad Social

Tipo De Identificación

Número De Identificación

Estado

El País

Propiedad

El Número De Ruta *

Tooltip content

El Banco *

Número De Cuenta *

Por favor, incluya el número completo de todos los ceros antes o después.

¿Actualmente está procesando transacciones con tarjeta? *

Sí
No

¿Cómo desea procesar las transacciones con tarjeta? *

en línea
en persona
por teléfono

Un Máximo De Ventas Mensuales Con Tarjeta De Crédito *

Si usted es un negocio nuevo sin procesamiento previo, ponga $ 5,000 a menos que esté seguro de que necesitará más.

Promedio *

La cantidad promedio que un cliente gastará en una transacción.

El Más Alto *

El tamaño de ticket común más alto que ves de los clientes en una transacción. Pueden ser varios artículos comprados a la vez.

¿Interesada en la protección contra fraude / contracargo? *

Sí
No

¿Quiere aceptar pagos ACH/eCheck? *

Sí
No

¿Está interesado en las opciones de financiación empresarial?* *

Sí
No

Monto De Financiamiento *

El Uso Previsto De Los Fondos *

Su Puntaje De Crédito *

*La Nota: Las consultas de financiación empresarial son independientes de esta solicitud. Esta aplicación es SOLO para una cuenta de comerciante. Los servicios auxiliares se discutirán con usted tras la aprobación de la cuenta del comerciante.

The information you enter will not be distributed or sold.

Cargar documentos de respaldo

Cargue documentos de forma segura para acelerar el proceso de suscripción y aprobación.

Arrastra y suelta el archivo
o navegar para elegir un archivo

Sus archivos se cargan con encriptación de 256 bits.

Documentos requeridos:

Cheque anulado
Copia a color de la identificación con foto

CANADIAN

Step: 1/4

Business Information
Personal Information
Business Bank Information
Processing Information

Please enable JavaScript in your browser to complete this form.

Business Information – Step 1 of 4

Ownership Type *

Legal Business Name *

This should be the legal name of your business as registered with the state. If applying as a sole proprietor, use your First and Last name.

DBA Name *

Business Phone *

Email Address *

Business Number *

An account number is a 15-digit number which consists of your unique 9-digit BN to identify your business, two letters to identify the government program, and four digits to identify a specific government account. CRA Business Numbers are linked to entity type.

Premise Type *

Years *

Months *

Business Website Address

Business Type *

Industry Type *

Address *

Address Line 1

City

State

Zip Code

Enter the legal business address that you have registered with the government.

Is your DBA address the same as your Legal Business address? *

Yes
No

DBA Phone *

DBA Address *

Address Line 1

City

State

Zip Code

Years *

Months *

Name *

First

Last

Is your Personal address the same as your Business or DBA address? *

No
Same as Legal
Same as DBA

Address *

Address Line 1

City

State

Zip Code

Years *

Months *

ID Type *

ID Number *

Place Issued *

Social Security Number *

Do not add dashes. Please make sure your credit isn’t frozen or blocked before submitting this form.

Minimum Age Of 18 *

You must be 18 years or older to apply.

Personal Phone Number *

Personal Email Address *

Ownership *

Add Owner

Only people with at least 25% ownership need to be included on this application.

Name

First

Last

Minimum Age Of 18

Owners Phone Number

Email Address

Address

Address Line 1

City

State

Zip Code

ID Type

ID Number

Place

Ownership

Bank Name *

Transit Number *

Institution Number *

Account Number *

Please include the full number all zeros before or after.

Are you currently processing credit and debit card transactions? *

Yes
No

How do you want to process card transactions? *

online
in person swipe
over the phone

Maximum Monthly Sales *

If you’re a new business with no prior processing put $5,000 unless you’re sure that you will need more.

Average Transaction *

The average amount a customer will spend in one transaction.

Highest Transaction *

The highest common ticket size you see from customers in one transaction. May be multiple items purchased at once.

Interested in Fraud/Chargeback Protection? *

Yes
No

Do you want to accept ACH/eCheck payments? *

Yes
No

Are you interested in business funding options? *

Yes
No

How much funding do you need? *

What is your intended use of funds? *

What is your credit score? *

The information you enter will not be distributed or sold.

Upload Supporting Documents

Securely upload documents to speed up the underwritting and approval process.

Drag and drop the file
or browse to choose a file

Your files are uploaded with 256 bit encryption.

Required Docs:

Voided check
Color copy of photo ID

Upload Supporting Documents

Securely upload documents to speed up the underwritting and approval process.

Drag and drop the file
or browse to choose a file

Your files are uploaded with 256 bit encryption.

Required Docs:

Voided check
Color copy of photo ID

Select Title for File