Merchant Application

1Account Type

Select a merchant account type

2Salon Information

Salon Name

Salon Phone Number

Salon Address

City

State

Zip Code

Your Email

What year did the business start

3Business Legal Information

Paperwork Types

Business Legal Name (Name shown on your paperwork) Same as Salon name

DBA Name

EIN Tax ID Number

Legal Address (Address shown on your paperwork) Same as Salon address

City

State

Zip Code

4Ownership Information

First Name

Last Name

Mobile Phone

Home Address

City

State

Zip Code

How long have you live at this address

Birth Date

Social Security Number

Driver’s License Number

Driver License State

5Banking Information

Will provide bank information later

Bank Name

Account Number

Routing Number

Credit Card Processing Application