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*

Authorized Company Contact