Easy ApplicationTom Nguyen2017-03-22T20:58:19+00:00 Application Form Owner Information Owner Name* Owner Email* Owner Address* Owner Phone #* Owner Birthday* Social Security #* Why do I need to give you my SSN? The bank requires every account to have an owner attached to it. Please enter SSN without dashes. Driver's License Please provide a scan/image of your driver's license. Business Information Legal Business Name* Doing Business As (DBA)* Business Type* CorporationGovernment EntityJoint VentureLLC - Limited Liability CorporationNon-ProfitPartnershipPublic CompanySole Proprietorship Tax ID #* The 9-digit number can be found on your IRS tax return forms. Please enter Tax ID # without dashes. Phone Number* Website Address Business Address* Business Start Date* Business Description* Processing Information Average Single Ticket* This is the average amount that a customer would spend in one transaction. Highest Expected Ticket* This is the most a customer would spend in one transaction. Annual Sales (All Types)* Total gross sales including cash, check and credit cards. Annual Credit/Debit Sales* Total credit and debit cards sales in one year. Estimate % of Each - Please use numbers only. % Retail Store/Card Swiped* Please enter a value between 0 and 100. % Phone Order/Key Entered* Please enter a value between 0 and 100 % Website Shopping Cart/Internet* Please enter a value between 0 and 100. Payment Methods Visa/Mastercard Discover American Express It is free to set up American Express. We pass their fees to you. Existing American Express Account? YESNO American Express Account Number* Bank Information Bank Name* This is the bank you want your funds deposited into. Routing Number* This is a 9-digit number that can be found to the left of your account number on a check. Account Number* Voided Check Please provide a scan/image of a voided business check. Disclosures No Contract ( month to month) I have reviewed the No Contract Guide. Free Terminal I have reviewed the Free Terminal Guide. No cancellation fee I have reviewed the No cancellation fee Guide.