Merchant Service Solutions Provider

What is the exact legal name of the business?

Will there be a different DBA name?

What is the mailing/billing address?

What is the physical address (if different)?

What is the corporate phone number?

What is the corporate email address?

What is the company website address, if applicable?

What type of ownership (i.e. sole proprietorship, partnership, LLC, etc…)?

What is your Federal Tax ID number?

Have you previously accepted Visa or MasterCard?

If you have previously accepted, who was your most recent processor?

Has your business ever been terminated as a Visa or MasterCard processor?

Has your business ever filed for bankruptcy?

What types of goods or services are provided?

How many years have you operated the business?

How many locations do you operate?

What are your days and hours of operation?

What will be your approximate average single ticket?

What do you envision being your high single ticket?

What do you anticipate your average monthly volume to be?

What do you anticipate your high monthly volume to be?

What do you anticipate your annual volume to be?

What percentage of your transactions are to be swiped, manually keyed, or Internet, etc…

Please provide the name of your bank and provide a contact person and their phone number.

When was this bank account opened?

Please provide a copy of a voided business check.

Must provide the following information on the person authorized to sign the merchant application (name, title, DOB, SSN#, phone #, residence address, and what percentage of the business that you own).

Provide two trade suppliers and a contact person and telephone number for each.

Tell us what these two trade suppliers provide you.

Do you lease or own your place of business?

If you lease, please provide the name and telephone number for the landlord.

Do you currently accept AMEX?

Do you wish to accept AMEX?

If you currently accept AMEX, please provide your account number.

Do your currently own, rent, or lease a credit card processing terminal?

If you do, what type is it (manufacturer & model)?

ATTENTION:  Internet merchants must prominently feature a PRIVACY POLICY & RETURN POLICY on your site before having your account fully approved (see www.gracenyc.org/donate.html for solid examples of each).