Tranzpay Application

1Contact Info

2Business Info

3Company Info

4Processing Volume

Business Information
Company Legal Name*
Business Name DBA (Doing Business As)*
Business Start Date*
MM slash DD slash YYYY
Company Website
Please enter the company website URL here
Business Type*
- Sole Proprietor
- Partnership
- Public Corp.
- LLC/LLP
- Private Corp
- Non-Profit
- Government
State Filed*
Location Business Address (No P.O. Box Accepted)*
Street Address Address Line 2 City State ZIP Code
Legal/Mailing/Billing Address
Same as location address

Street Address Address Line 2 City State ZIP Code
Federal Tax ID*
Business Telephone*
Fax
Number of Locations*
Customer Service Telephone*
Customer Service Email*

Company Information
Company Payment URL
Website address for business, if collecting payments on a website, please provide URL where payments are collected.
Card Holder Descriptor
The 22 character description card holders will see on their credit card statement when a charge from your company appears.
Description of Products/Services Sold
Enter a brief description of the products or services you will be collecting payments for. (Insurance, etc)
Will your business be utilizing separate Trust and Operating accounts?*
Mark "No" if you will use the same bank account for both fees and deposits.

Mark "Yes" if you will have one bank account on file for deposits and a separate bank account for fees.
- No
- Yes

Processing Volume
If not yet collecting payments, please estimate expected volume six months from now.
Average Ticket*
Highest Ticket Amount*
Monthly Volume*
Recent Processing Statements
If you are currently processing, please provide three months most recent processing statements.
Drop files here or

Accepted file types: pdf, png, jpg, gif, Max. file size: 10 MB, Max. files: 3.
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