Check Commerce Merchant Application

Welcome

You've chosen an advanced payments platform to complement your business.

Getting started with a merchant account is a snap. Complete our simple web-based application form. Digitally sign the application. Start getting paid. It is that simple.

A quick note before you get started.

When you complete our application, you're also providing all the information needed to establish your account. Please make sure you have the following information at your fingertips, and let's get started:

Contact information for an authorizing officer in your organization
Legal Address and Business Address
Tax ID (Federal EIN)
Routing number and account number of your organization's bank account (where should we deposit your money?)

Click below to get started.

Recurly Program Information

Select your Maximum Single Transaction based on previous processing volume:

$0 - $5000$5001-$15000This will ensure you are set up on the correct program

Documentation Required in order for Underwriting to begin their review of the Merchant Account:

signed and complete application
voided check or bank letter verifying ownership of the settlement account
articles of incorporation or company formation papers
3 consecutive months processing statements
3 consecutive months bank statements
proof of authorization must be compliant with NACHA guidelines https://www.checkcommerce.com/nacha.html

Internal Use Only

Referral Partner ID

Program Association

a0Fi000000H2G7Ea0Fi0000002DZu4

Deal Record ID

Account ID

Contact ID

Legal Entity Information

Please tell us about your corporation, LLC, or other legal entity information. In laymen's terms, this means the name, address, and other info as it appears on your tax returns.

DBA and location information, if different, will be in a following section. If you're a sole proprietor, give us your home address and SSN in this section.

Company Legal Name and Address

Company Legal Name:

Legal Street Address:

Legal City:

Legal State:

Please use state abbreviations (e.g. AZ)

Legal Zip:

5 digit postal code

Legal Phone:

Legal Fax:

Legal Entity Info

Is your organization a church or other religious organization?

YesNo

State Incorporated:

what state (abbreviated) did you file incorporation paperwork

Entity Start Date:

mm/dd/yyyy

Year Current Ownership Started

YYYY Again, it's okay to estimate and this may or may not match entity start year.

Organization EIN:

##-####### (9 digits)

Sole Proprietor may need to provide SSN in lieu of EIN

Patriot Act Requirements

ACH Processing accounts are regulated under the "Know Your Customer" provisions of The Bank Secrecy Act and USA Patriot Act.

In plain English, this means that before we allow you to accept payments we need to know that you're not one of the bad guys.

To that end, we're required to collect the following personal information about the individual opening this account...you.

Primary Owner / Officer Business Information

First Name:

Last Name:

Title:

E-mail:

must be associated with the Owner/Officer for eSignature

Business Phone:

Mobile or best number to reach

Home Phone:

Mobile or best number to reach

Mobile Phone:

This number may be used for secure credential communication.

% of Equity Ownership:

Primary Owner/Officer Personal Information

Residence Street Address:

Residence City:

Residence State:

Please use state abbreviations (e.g. AZ)

Residence Zip:

5 digit postal code

Social Security Number:

Date of Birth:

Date Format: mm/dd/yyyy

Will there be a second principal (signer) on the account ?

Yes

No

Secondary Owner/Officer Personal Information

First Name:

Last Name:

E-mail:

Mobile Phone:

% of Equity Ownership:

Social Security Number:

Date of Birth:

Date Format: mm/dd/yyyy

Residence Street Address:

Residence City:

Residence State:

Please use state abbreviations (e.g. AZ)

Residence Zip:

5 digit postal code

Merchant Location DBA Information

Tell us about the physical location of your business.

Doing Business As (DBA) Name:

Customer service phone number:

Must be tied to business for billing or service issues.

Do you have a website?

YesNo

Website

www.(merchantdomain).com

Location phone number:

must match Yellow Pages or Google listing

Let us know how you would like to receive chargeback notifications

via fax transmissionmail to our Location Addressmail to our Legal Address

Chargeback Fax Number

###-###-####

Location Address

Location Street Address:

Location City:

Location State:

Please use state abbreviations (e.g. AZ)

Location Zip:

5 digit postal code

Location Contact

Location Contact Full Name:

Location Contact Title:

Location Contact Email:

Location Contact Mobile:

Settlement Bank Information

Tell us where you would you like your money deposited. Your company name doesn't need to match your business name exactly, but we need to know if it's different.

Company Name:

as it appears on your checks or bank statements

Bank Name:

Wells Fargo, Bank of America, etc.

Bank Routing Number:

9 digits.

Bank Account Number:

Will the fees be debited from the same Settlement Account?

YesNo

Fee Bank Information

Tell us where you would you like your fees debited from. Your company name doesn't need to match your business name exactly, but we need to know if it's different.

Company Name as it appears on checks:

Fee Account Bank Name:

Wells Fargo, Bank of America, etc.

Fee Account Routing Number:

9 digits.

Fee Account Number: